• Associate Director, Pharmacy Operations

    Omnicell (Watertown, NY)
    …+ Five or more years of transplant experience with a strong understanding of Medicare Part B billing requirements is preferred. + A thorough understanding of the ... of the pharmacy facilities and its operations. + Ensures organizational and store compliance with Federal, State and local laws and accreditation standards as well… more
    Omnicell (09/22/25)
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  • Prior Authorization Coordinator

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... The FH authorization process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements, and… more
    Fallon Health (09/22/25)
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  • Detention Officer

    City of Alpharetta, Georgia (Alpharetta, GA)
    …by Employee Manual & Benefits Handbook or bona fide occupational qualifications). In compliance with the Drug-Free Workplace Act of 1988, the City of Alpharetta is ... successfully perform the essential functions of this job. In compliance with the ADA, the City of Alpharetta will...yrs. of service) may continue individual coverage up until Medicare eligibility at age 65. Medical Reimbursement: retirees (age… more
    City of Alpharetta, Georgia (09/21/25)
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  • Medical Billing Positions

    Hart Medical Equipment (Grand Blanc, MI)
    …numbers that fall within the providership table. + Maintain current knowledge on Medicare , Medicaid, and all third party payers for equipment coverage and continued ... compliance . + Uphold positive attitude towards tasks and co-workers,...Implement changes as requested that affect A/R and audit compliance . + Other duties as requested by Management. QUALIFICATIONS… more
    Hart Medical Equipment (09/20/25)
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  • Provider Engagement - Behavioral Health

    Humana (Oklahoma City, OK)
    …all provider interactions with Humana's Oklahoma Medicaid plan + Ensure compliance with Oklahoma's managed care contractual requirements for provider relations, such ... 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
    Humana (09/20/25)
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  • Licensed Practical Nurse (Outpatient)…

    WellSpan Health (Lewisburg, PA)
    …duties as identified. + WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, ... organization and the performance expectations of the job, the department, and the compliance program. + WellSpan Health has adopted and implemented a privacy program… more
    WellSpan Health (09/20/25)
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  • RN Case Manager (Hybrid) - SNP Special Needs Plan…

    Henry Ford Health System (Troy, MI)
    …Program (C-SNP) and Dual-Special Needs Program (D-SNP) group. We provide services to Medicare eligible patients based on the standard criteria for the plan (see more ... level of care or home. + Familiarity, comprehension, and compliance with the Special Needs Plan Model of Care...professional, clinical documentation to ensure continuity of care and compliance to regulatory requirements (eg, HIPAA, SNP Model of… more
    Henry Ford Health System (09/20/25)
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  • Outcomes Manager, Per Diem, Float, BSN, MSW

    Virtua Health (Pennsauken, NJ)
    …Six Sigma committee, department and/or divisional teams and community activities. Compliance * Understands and applies applicable federal and state requirement.* ... Identify and reports compliance issues as appropriate.Position Qualifications Required / Experience Required:Required: Must be RN or Masters prepared Licensed Social… more
    Virtua Health (09/20/25)
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  • Home Therapy PCT

    Fresenius Medical Center (Ashland, KY)
    …a licensed nurse under organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. ... direct supervision of the Home Therapies registered nurse (HT RN), in compliance with, and as permissible per state laws, regulations, and policies.** **PRINCIPAL**… more
    Fresenius Medical Center (09/20/25)
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  • Lung Transplant Financial Analyst

    Cedars-Sinai (Los Angeles, CA)
    …include monitoring, tracking, and reporting organ acquisition services in compliance with organizational and regulatory guidelines. The analyst verifies insurance ... will be doing:** + Monitor and report organ acquisition charges in compliance with financial policies. + Verify insurance eligibility and obtain necessary… more
    Cedars-Sinai (09/20/25)
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