- Humana (Concord, NH)
- …Professional 2 working remote anywhere in the US. This team focuses on Medicare compliance and operational communications. As the Production Professional 2, you ... Communications Professional who is experienced in print communications and Medicare to join the Retail Communications Team as a...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Trinity Health (Des Moines, IA)
- …basics of coding diagnoses and procedures as required for insurance authorizations and Medicare compliance . Utilizes online program for Medicare ... tracking system; distributes patient information according to hospital policy and compliance regulations. Obtains State issued photo ID. + Identifies and selects… more
- AmeriHealth Caritas (Philadelphia, PA)
- …managing relationships with independent brokers and general agencies, while ensuring full compliance with Centers for Medicare & Medicaid Services (CMS), state, ... services. Discover more about us at www.amerihealthcaritas.com. **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth and ensures… more
- Elevance Health (Durham, NC)
- …of managerial experience is strongly preferred + Experience with IRE/Maximus and Medicare compliance , programs, guidelines, and processes are strongly preferred. ... and operational and plan risk, ensures quality, and regulatory compliance . This role specifically oversees the IRE Team. **How...regulated audits. + Oversight of the IRE portions of Medicare audits and universe production. + Serves as a… more
- BAYADA Home Health Care (Sterling, VA)
- …candidate will have a strong background in healthcare administration, regulatory compliance ( Medicare Conditions of Participation), clinical coordination, and ... You'll Do as Director:** + Provide leadership and strategic direction to ensure compliance with Medicare regulations and state/federal laws governing home health… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …Microsoft) and cloud-based contact center solutions (AWS Connect, Google CcaaS). * Compliance & Security: Ensure adherence to Medicare regulations, HIPAA ... Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform...in the US, please email the CGI US Employment Compliance mailbox at US_Employment_###@cgi.com . You will need to… more
- Point32Health (Canton, MA)
- …or equivalent combination of education and experience . 3+ years of Medicare , Medicaid and/or commercial compliance experience. + Preferred: Skill Requirements ... the direction of the Director or Senior Manager of the department, the Compliance Program Manager III manages compliance programs, regulatory projects and… more
- U-Haul (Phoenix, AZ)
- …tracking, and policyholder communications. This position assists in ensuring compliance with Medicare Supplement regulations, coordinating with internal ... 2721 N Central Ave, Phoenix, Arizona 85036 United States of America he Regulatory Compliance Analyst supports the Compliance , Actuarial, and Finance teams in the… more
- Molina Healthcare (Green Bay, WI)
- …as needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates ... including goal setting and score card development + Monitors and enforces compliance with enterprise-wide processes and develops workflows for all staff to follow… more
- Houston Methodist (Houston, TX)
- …Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party payments and internal policies. ... as subject matter expert, performing complex and high risk-based and baseline compliance reviews and identifying potential risk areas and revenue potential. The Sr… more