- AmeriHealth Caritas (Harrisburg, PA)
- …such as Credentialing, Clinical, Member Services, and Provider Maintenance, ensuring compliance with state regulations and internal standards. A strong understanding ... of Medicaid, Medicare , and state-funded programs is essential, along with the...providers in completing supplemental packets and OON documentation in compliance with state regulations. + Monitor and manage EXP… more
- KPH Healthcare Services, Inc. (Watertown, NY)
- …multidisciplinary team for the best patient/customer outcomes, education, instruction and compliance of patients. The RN delivers care to patients/customers as ... oximeters + Nurse/Clinician will play an active role in compliance to meet insurance guidelines while promoting a healthy...assistance with areas of + Stays current on LCDs, Medicare billing and dispensing guidelines + Responsible for completing… more
- UnityPoint Health (Iowa City, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... concerns regarding compliance to the immediate attention of hospital administrative staff....action on concerns reported by department staff related to compliance . Qualifications Education: . Graduate of accredited nursing program… more
- Beth Israel Lahey Health (Boston, MA)
- …The Manager of Business and Regulatory Affairs oversees financial performance, regulatory compliance , and data management of the Heart Transplant, LVAD and ECMO ... Collaborates with BIDMC Finance to capture and report organ acquisition expenses on Medicare Cost Report including mgmt of time studies. Liaisons with managed care… more
- AdventHealth (Calhoun, GA)
- …is responsible for customer satisfaction, financial management, regulatory compliance , Human Resources issues, employee competency, performance improvement, ... not in attendance have access to review meeting minutes. + Regulatory Compliance : + Complies with The Joint Commission (TJC) and Healthcare Facilities Accreditation… more
- UnityPoint Health (Cedar Rapids, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... concerns regarding compliance to the immediate attention of hospital administrative staff....action on concerns reported by department staff related to compliance . Qualifications Education: Associate Degree in Nursing, Bachelor of… more
- Cedars-Sinai (Marina Del Rey, CA)
- …The role encompasses the meticulous oversight and continuous evaluation of Centers for Medicare & Medicaid Services (CMS) metrics, including but not limited to Core ... Safety Specialist is dedicated to advancing patient safety and ensuring rigorous compliance and performance with both internal and external standards (eg, CMS, The… more
- HonorHealth (AZ)
- …appropriate for billing, internal and external reporting, research, and regulatory compliance . Essential Functions + Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT ... & coding for appropriateness & accuracy and makes corrections following Medicare & AMA coding guidelines. Utilizes electronic medical record and computer-assisted… more
- Humana (Carson City, NV)
- …pillars, including continuous integration (CI), continuous delivery (CD), quality, security, compliance , metrics, and reporting. + Ensure compliance with ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- UnityPoint Health (Waterloo, IA)
- …of compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... concerns regarding compliance to the immediate attention of hospital administrative staff....action on concerns reported by department staff related to compliance Qualifications Minimum Requirements Identify items that are minimally… more