- Ochsner Health (Baton Rouge, LA)
- …knowledge of managed care and public programs such as those funded by Medicare , Medicaid, Medicare Advantage, and commercial insurance plans. + Proficiency in ... amended at any time. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting… more
- AON (Fort Washington, PA)
- …Term Care (New York Life), Auto & Home (Liberty Mutual), and Medicare Supplement (Transamerica). Your responsibilities will include managing complex client matters ... as they enhance the ability to navigate complex financial products and compliance requirements. The role involves supporting the Group Variable Universal Life… more
- CareOregon (Portland, OR)
- …+ Provides strategic leadership across financial functions in support of Medicaid, Medicare , and other populations. + Liaisons with transformation planning team, on ... strategic priorities. + Ensures effective operations and measurements, including compliance and regulatory reporting of required activities under contract. +… more
- Novant Health (Winston Salem, NC)
- …a Structural Heart Regulatory Coordinator who's passionate about ensuring compliance and supporting life-saving procedures in a collaborative, fast-paced ... procedures performed and the pre/post care required. + Knowledge of Medicare /Medicaid rules/regulations necessary to understand criteria for admission. + Stay… 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. Essential… more
- US Tech Solutions (May, OK)
- …to obtain additional information. . Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. . ... of Care cases across all lines of business (Commercial and Medicare ). . Independently coordinates the clinical resolution with internal/external clinician support… more
- LA Care Health Plan (Los Angeles, CA)
- …of member appeals and grievances for all product lines (Medi-Cal, Medi-Cal Direct, Medicare , PASC-SEIU and LA Care Covered) in a manner consistent with regulatory ... Department of Managed Health Care, Department of Health Care Services, Centers for Medicare & Medicaid Services, as well as requirements from the National Committee… more
- Alameda Health System (Oakland, CA)
- …of department-wide education, clinical competencies, quality assurance, regulatory compliance , PACS/RIS workflow support, and radiologic student training programs. ... the American College of Radiology (ACR), The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and the California Department of Public Health -… more
- University of Oregon (Eugene, OR)
- …Assurance and Risk Management position is responsible for the HIPAA Compliance Program, Safety/Risk Management, and Quality Assurance at University Health Services. ... Assurance and Risk Management is responsible for accreditation and ongoing compliance with the standards of the Accreditation Association for Ambulatory Health… more
- WellSpan Health (York, PA)
- …of contract pharmacies (if applicable) and 340B pharmacy operations to ensure compliance with 340B Program requirements for qualified patients, drugs and locations. ... Monitors and audits state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates. Evaluates patient eligibility for qualified and… more