- Baylor Scott & White Health (Santa Fe, NM)
- …lessons are completed in a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to BSWH ... JOB SUMMARY The Third Party Compliance Consultant Sr performs ongoing activities related to...of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations.… more
- Cardinal Health (San Juan, PR)
- **_What Ethics & Compliance contributes to Cardinal Health_** Ethics & Compliance promotes a culture that encourages ethical conduct and a commitment to ... compliance . This function implements strategies and processes to ensure...facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines;… more
- Prime Therapeutics (Santa Fe, NM)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior ... Compliance Analyst assists in the implementation of Prime's ...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- Prime Healthcare (Ontario, CA)
- …and maintaining effective compliance programs + Knowledge of laws relating to Medicare , Medicaid, EMTALA, HIPAA, the Stark Law, the False Claims Act, and the ... seeking new members to join our corporate team! Responsibilities The Corporate Compliance Coordinator at Prime will participate and assist in compliance -related… more
- Abbott (Sylmar, CA)
- …for developing, updating and maintaining basic and routine elements of Abbott's compliance program at the franchise, business unit, divisional or corporate level. + ... OEC and divisional policy interpretation and requirements, and assists with compliance risk assessment, trend analysis and best practice recommendations. +… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager of Research Billing Compliance position is responsible for managing the development and execution of the Houston Methodist Research ... Institute research billing compliance program to meet all legal and institutional requirements....Performs detailed claims testing and medical review. - Reviews Medicare Coverage Analysis to ensure completion prior to handing… more
- Hartford HealthCare (Hartford, CT)
- …you to become part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of Compliance ... documentation, coding and billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal,… more
- Highmark Health (Austin, TX)
- …This job is responsible for planning, designing, implementing, and maintaining the Compliance Program and its related policies to ensure the business acts within ... responsible for the administration, interpretation, and enforcement of the Compliance Program including auditing/monitoring operational processes, conducting or overseeing… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking,… more
- Centene Corporation (Austin, TX)
- …**Position Purpose:** Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across ... our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements...business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight… more