- Gentiva (Wilkesboro, NC)
- …+ Supervise all volunteer activity within the designated service area. + Maintain compliance with the Medicare Hospice Conditions of Participation 5% volunteer ... requirement. + Assess patient and family needs for volunteer services and coordinate appropriate placements. + Recruit, train, and retain Administrative, Direct Care, Vigil, and Bereavement volunteers. + Facilitate volunteer orientation and annual training… more
- Cardinal Health (Fort Worth, TX)
- **_What Quality Compliance contributes to Cardinal Health_** Quality Compliance is responsible for the development and implementation of policies, procedures and ... and drive uncompromised supply chain integrity. This role provides Quality Compliance support for Cardinal Health at Home Solutions distribution centers (DC)… more
- Atlantic Health System (Morristown, NJ)
- …assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of ... + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares...and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6… more
- Starfish Family Services, Inc. (Livonia, MI)
- …in customer service, compliance , and technical systems. + Ensure compliance with HIPAA, Medicaid/ Medicare , DHS requirements, and other regulatory standards. ... excellent customer service, efficient scheduling, accurate insurance verification, and compliance with agency and regulatory requirements. The Supervisor is… more
- UCLA Health (Los Angeles, CA)
- …system. You'll ensure that hospital charges are processed promptly, accurately, and in compliance with Centers of Medicare & Medicaid Services (CMS), Medi-Cal, ... capture processes. + Manages and conducts special project reviews. + Maintain compliance with CMS, Medi-Cal, and health plan billing regulations. + Analyze complex… more
- Penn Medicine (Bala Cynwyd, PA)
- …you living your life's work? Entity: Corporate Services Department: Office of Billing Compliance Hours: M-F, 8 hr days, hybrid Location: 150 Monument Road, Bala ... Cynwyd, PA Summary: + The Compliance Analyst (CA) I is responsible for audits, reviews,...the changes in the CPT coding, CMS regulations, local Medicare carrier (Novitas) in order to provide the most… more
- Staffing Solutions Organization (Albany, NY)
- …NY** **Division of Eligibility & Marketplace Integration (DEMI)** **Bureau of Program Compliance and Audit** **50% Onsite 50% Remote** **Duties:** The Bureau of ... Program Compliance and Audit is seeking a highly motivated individual...professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also… more
- Fallon Health (Lowell, MA)
- …product regulatory requirements and Program policies and processes o Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- Humana (Atchison, KS)
- …role. **Preferred Qualifications:** + Master's Degree + Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional ... 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
- State of Minnesota (St. Paul, MN)
- **Working Title: Waivers and Compliance Manager** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ID** : 88873 + **Location** : St. ... location to be eligible for telework. Federal law provides the Centers for Medicare and Medicaid Services (CMS) authority to waive certain Medicaid requirements so… more