- Aveanna Healthcare (Dover, DE)
- …Kent County Essential Job Functions * Delivery quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. * ... the state of application * Valid CPR Preferred: * Medicare Skilled Nursing experience * Basic understanding of Oasis...Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Blue KC (MO)
- …Marketing, Special investigations Unit (fraud and abuse), Legal, Product Development, Compliance and Provider Services. + Provides medical leadership and advice for ... Knowledge with 3 years of the managed care industry including Medicare Advantage, and/or Managed Commercial products, Integrated Delivery Systems, health insurance,… more
- Aveanna Healthcare (Fort Myers, FL)
- …work-life balance Essential Job Functions + Deliver quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. * ... the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Stanford Health Care (Palo Alto, CA)
- …Santa Clara, or Alameda counties. Supporting a value-based care model for Medicare Managed Care programs, serving all Medicare patients (excluding VA/Kaiser ... collaboration between providers and coordination of community resources. + Ensures compliance with legal, regulatory and clinical policies and procedures. +… more
- CVS Health (Boston, MA)
- …Examples include ensuring data standards are synchronized across Medicaid and Medicare platforms, ensuring duals workflows are support across systems, ensuring duals ... and Key Performance Indicators are met, mange ad-hoc requests, and ensure compliance with regulatory requirements. + Demonstrate an ability to lead through influence… more
- University of Utah (Salt Lake City, UT)
- …Assistants), with oversight covered under malpractice insurance **Administrative & Compliance Duties** * Participate in administrative duties and training programs ... documents * Participate in quality improvement activities * Meet qualifications for Medicare , Medicaid, and similar programs * Maintain valid Utah medical license… more
- CVS Health (Blue Bell, PA)
- …for the strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts (VBC), by ensuring that VBC arrangements ... partners + Educates internal and external parties as needed to ensure compliance with contract terms and expectations + Assists with workflow development and… more
- Humana (Louisville, KY)
- …Experience working with medical claims or other healthcare data + Medicare risk adjustment experience + Financial or actuarial background **Additional Information** ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Highmark Health (Montpelier, VT)
- …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
- The County of Los Angeles (Los Angeles, CA)
- …representative to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician ... review requirements, the impact of the requirements, and procedures to be implemented for compliance , as needed. + As a unit supervisor at the LA General Medical… more