- Molina Healthcare (Houston, TX)
- **(Sales) Compliance Analyst** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a ... Operating Procedures and Training documents. . Lead regularly scheduled Sales & Compliance leadership meetings. . Interpret and analyze Medicare , Medicaid, and… more
- Atlantic Health System (Morristown, NJ)
- …privacy, information governance, and data risk classification; (iv) accountable care organization compliance ; (v) Medicare C & D/ Medicare Advantage ... compliance program guidance; (iv) CMS Conditions of Participation; (v) Medicare Shared Savings Program Accountable Care Organization Compliance guidance and… more
- BayCare Health System (Clearwater, FL)
- …judgment at all times. **Minimum Qualifications:** **Experience:** + 5 years of Medicare compliance experience **Education:** + Required - Bachelors - Business; ... dignity, respect, responsibility and clinical excellence. **Summary:** + Assist the Chief Compliance Officer to continuously develop the Health Plans Compliance … more
- Point32Health (Canton, MA)
- …and direct administration of activities, projects, and personnel necessary to ensure compliance with Medicare , Commercial and Medicaid laws and regulations and ... research or equivalent combination of education and experience. 5+ years of Medicare and/or Medicaid Compliance experience. Strong experience with Medicare… more
- Cleveland Clinic (Cleveland, OH)
- …team, patient financial services, clinical research billing office, IRB and research compliance related to Medicare coverage analysis issues and determinations. ... the most respected healthcare organizations in the world. As a Research Medicare Coverage Analysis Specialist, you will be responsible for determining qualifying… more
- Prime Healthcare (Redding, CA)
- …in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the ... family. For more information, visit www.shastaregional.com. Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing and collections,… more
- Always Best Care Senior Services (Honolulu, HI)
- …to join our team. The ideal candidate will have a strong understanding of Medicare compliance requirements for Home Health and will help ensure our operations ... Qualifications: * Prior experience in a Home Health administrative role, preferably with Medicare compliance knowledge. * Strong familiarity with Medicare … more
- Ankura (NC)
- …A strong working knowledge of laws, regulations and industry trends impacting compliance ( Medicare , Medicaid, ACA, government programs) and operations at health ... is seeking an experienced Managing Director for our payer government programs compliance & operations consulting services. This exciting position will focus on… more
- Always Best Care Senior Services (Honolulu, HI)
- …care services. We are looking for a Home Health Administrator with expertise in Medicare compliance , billing, and coding to ensure our agency operates smoothly ... a difference, we'd love to meet you! Key Responsibilities * Ensure compliance with Medicare guidelines for Home Health services. * Prepare, submit, and track … more
- Humana (Boise, ID)
- …requirements development. + Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance, and compliance + Determine ... community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more