- Molina Healthcare (San Francisco, CA)
- …procedures, and provider communications. Oversees Managers and Specialists to ensure compliance with federal, state, and local regulatory requirements while aligning ... strategic goals. Partners with network contracting, operations, government contracts, compliance , and systems teams to drive operational excellence, regulatory… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Group ... standard formulas and actuarial information, recognizing system requirements and ensuring compliance with state and federal regulations, and adherence to internal… more
- CenterWell (Kansas City, KS)
- …in on-call rotation and support growth initiatives at your center. + Ensure compliance with all licensing and accreditation requirements. **Use your skills to make ... **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and ...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Corewell Health (Trenton, MI)
- …information, educating and providing information as necessary. Collects and documents Medicare Questionnaire, issue Medicare Inpatient Letter & Medicare ... by Government mandates. Scan appropriate documents. Manage all responsibilities within Compliance guidelines as outlined in the Hospital and Department Compliance… more
- Kelly Services (Avon, CT)
- …service team in Avon, CT. This role is focused on providing support to Medicare participants, primarily individuals aged 65 and older. The ideal candidate will have ... **Key Responsibilities:** + Serve as the primary point of contact for Medicare members, providers, pharmacies, and other insurance carriers. + Assist with claim… more
- CareOregon (Portland, OR)
- …care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ... as roughly 10,000 baby boomers a day enter the Medicare system. If you receive an offer of employment...medical services (RN, NP, PA, LPN, CNA), and assuring compliance with medical standards of care for hospice. +… more
- CenterWell (Jacksonville, FL)
- …on-call rotation and support growth initiatives at your center. + Ensure compliance with all licensing and accreditation requirements. **What We're Looking For** ... **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and ...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (Newport News, VA)
- …on-call rotation and support growth initiatives at your center. . Ensure compliance with all licensing and accreditation requirements. What We're Looking For ... Preferred: . Experience in value-based care, primary care or Medicare Advantage settings. . Active DEA license and ...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- New York State Civil Service (Brooklyn, NY)
- …and scheduling to ensure quality care* Ensuring nursing operations are in compliance with laws, regulations, and standards of care* Preparing for regulatory visits ... that aligns with KPC and OMH mission * Implementing compliance and regulatory process structures to meet Joint Commission...on any of the Federal and/or State Medicaid and Medicare exclusion lists. If appointed and subsequently listed as… more
- Humana (Indianapolis, IN)
- …Dual Eligible Special Needs Plans (DSNP), which serve members who qualify for both Medicare and Medicaid. They will lead the state Medicaid executive team and report ... health and well-being throughout the organization + Ensure plan compliance with federal and state laws and programmatic requirements,...of a health plan + DSNP Experience inclusive of Medicare Advantage + Proven track record of collaborating with… more