- Community Health Systems (Franklin, TN)
- …validating documentation within the Electronic Health Record (EHR). This role ensures compliance with medical staff bylaws, medical staff rules and regulations, The ... Joint Commission (TJC) standards, Medicare Conditions of Participation, and other regulatory requirements. The HIIM Data Integrity Analyst assigns deficiencies to… more
- Sanford Health (Sioux Falls, SD)
- …Details** Key role in project managing the regulatory analysis and reviews for Medicare and non- Medicare products in an exciting growth time. **Job Summary** ... federal industry regulations and provide impact analysis of legislation to maintain compliance and improve the operations of the organization. In coordination with… more
- HCA Healthcare (Nashville, TN)
- …in identifying and addressing payer medical policy issues, supporting the regulatory compliance team, and enhancing the overall quality of our clinical processes. ... status, level of care, and length of stay to ensure accuracy and compliance . + Proactively identify and address payer medical policies that lead to inappropriate… more
- Gentiva (St. Louis, MO)
- …clinical leader in our hospice locations across the region. You'll ensure compliance , lead quality initiatives, and support teams in delivering best-in-class care ... with the flexibility and skill to manage hospice operations while maintaining compliance with all federal, state, and organizational standards. **What You'll Do as… more
- Nestle (Bridgewater, NJ)
- …market dynamics, including reimbursement models and payer landscapes (Medicaid, Medicare , and private insurance). By negotiating and executing distributor programs, ... to assess sales performance, align on goals, address concerns, and ensure compliance with NHSc Distributor Agreements + Monitor adherence to contract compliance… 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...and continuous improvement to ensure the highest level of compliance and quality care is provided to primary care… more
- Apex Health Solutions (Houston, TX)
- …technicians) in all aspects of pharmacy operations and services including Medicare part D oversight, coverage determination and re-determination (appeal) process, ... (internal and external). The pharmacy specialist will also work with the compliance department to perform frequent audits and provide exceptional customer service… more
- Silicon Valley Power (Santa Clara, CA)
- …of protection and control systems, communication systems, project management, and Compliance is desirable. The candidate should have extensive knowledge of ... only general direction. This position supports day-to-day utility operations and Compliance . **For the Customer Development and Project Management Division:** + The… more
- Humana (Hartford, CT)
- …time with demonstrated advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The nature of the work ... concurrently navigating multiple computer applications. Due to the auto dialer process and compliance needs of the business there is limited day to day flexibility… more
- Aveanna Healthcare (Alton, IL)
- …Responsibilities include supervising staff, coordinating patient care, maintaining compliance , and supporting clinical excellence. Key Responsibilities: Care & ... and performance management + Support a positive and growth-oriented team environment Compliance & Quality + Ensure regulatory and accreditation compliance (eg,… more