- ConvaTec (Oklahoma City, OK)
- …Complete monthly calls to customers to confirm supply order needs. Ensure compliance with insurance guidelines. Maintain rapport with existing patient base. Provide ... and Spanish speaking if bilingual + Coordinate, follow-up on Medicare patients; ensure shipments do not go out without...go out without a confirmation + Call and confirm Medicare orders with customers through call system and via… more
- New York State Civil Service (New York, NY)
- …Supervisor 1 Psychiatric and other nursing and direct care staff* Ensuring compliance with established standards of nursing care in accordance with State, federal, ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more
- Sunrise Senior Living (Silver Spring, MD)
- …Profit and Loss (P&L) Summary reporting, balance sheet account reconciliations, Medicare /Medicaid billing and adherence to Sunrise Senior Living business process ... files per Sunrise Senior Living policy and procedures and in compliance with Federal and State regulations. **RESPONSIBILITIES & QUALIFICATIONS** **Essential… more
- Community Wellness Partners (Oswego, NY)
- …healthcare accounting, particularly within the skilled nursing sector, including Medicare /Medicaid reimbursement, cost reporting, and regulatory compliance . Key ... our finance team. This role is responsible for overseeing the accuracy, compliance , and timeliness of financial reporting while providing insight to support… more
- Humana (Frankfort, KY)
- …organization (HQRI). This support includes submission of encounter data to Medicaid, Medicare , and DSNP states and will require the ability to manage inventory, ... ensure compliance adherence, and solve complex business challenges ranging from...tools to enhance the encounter acceptance rate by Medicaid, Medicare , and DSNP. This role will work on strategic… more
- UCLA Health (Los Angeles, CA)
- Description The Business Data Analyst plays a key role within the Medicare Advantage Operations team, acting as a liaison between business units, IT teams, and ... cross-functional operations, and driving system enhancements to improve efficiency and compliance . The analyst will also support testing, report generation, and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Coordinator will provide oversight of the Tele-sales staff and ensure ongoing compliance , by conducting call monitoring. He/she will provide topic suggestions based ... for trainers/Auditors to utilize in developing ongoing training plans that ensure compliance and used in class trainings. The Coordinator will be responsible for… more
- CVS Health (Hartford, CT)
- …of All Payers Claim Database (APCD) state regulations, review of compliance interpretation, writing business specifications, data quality review, data preparation ... and compliance to regulatory requirements. Proficiency in all Microsoft Office...all types of health care products including HMO, PPO, Medicare Advantage and Medicare Part D. +… more
- Molina Healthcare (Orlando, FL)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- The Cigna Group (St. Louis, MO)
- …will ensure their capabilities are compliant with the Center for Medicare and Medicaid Services (CMS) regulations, lead implementation of enhancements, provide ... with all cross-functional areas of the organization + Understand and ensure compliance to CMS guidance and regulations + Influence account teams, clients, and… more