- Centers Plan for Healthy Living (New York, NY)
- …need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new ... explaining program benefits in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The Licensed… more
- Novant Health (Charlotte, NC)
- …communication and interpersonal skills. + Knowledge of healthcare regulations and compliance standards. + Expert knowledge of Medicare /Medicaid regulations, ... support services. This leader will be pivotal in driving quality, compliance , and efficiency using transformative technology throughout the mid- revenue cycle.… more
- Diversicare Healthcare Services & Diversicare Ther (Jackson, MS)
- …all aspects of the RAI process to assist facilities in meeting regulatory compliance . Additionally provide subject matter consultation on Medicare , Medicaid and ... the RAI, Medicare , Medicaid and Managed Care processes to facilitate compliance , integrity and accurate reimbursement. 2. Train and consult with center staff and… more
- BAYADA Home Health Care (Lebanon, MO)
- … Certified Home Health Care experience. + Comprehensive knowledge of the Medicare Conditions of Participation and regulatory compliance . + Thorough understanding ... of OASIS documentation and ICD-10 coding. + HCHB a plus. + Strong people management and leadership experience highly desired. + Must have current or previous management experience. + Excellent organizational, interpersonal and communication skills. + Acute,… more
- Humana (Austin, TX)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. All work occurs… more
- Fresenius Medical Center (North Haven, CT)
- …core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL ... options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). +… more
- Fresenius Medical Center (San German, PR)
- …core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements. **PRINCIPAL ... options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs, and COBRA). +… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** Provides leadership to the Medicare Duals team and plays a critical role in advancing the Medicare Integrated Duals segment ... strategic priorities. Develops and executes Medicare strategies, including state-specific and product-specific growth initiatives. Leads high-priority projects… more
- University of Rochester (Brighton, NY)
- …includes, but is not limited to fraud and abuse, billing compliance , corporate transactions, physician employment and compensation, telemedicine, graduate medical ... other legal matters. Manages disputes, risks and projects related to regulatory compliance and legal transactions. Identifies regulatory risks and exposures to the… more
- Humana (Orlando, FL)
- …to the development, implementation, and management of the company's Medicare /Medicaid Five-Star Quality Rating System. The Senior Stars Improvement, Clinical ... Organizations (MSOs) and organizational leaders to impact Centers for Medicare & Medicaid Services (CMS) Star Rating categories -...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more