- Aveanna Healthcare (Hendersonville, TN)
- …of care and performs home visits as needed. + Ensures client compliance with federal/state regulations through policy and procedure administration to staff. + ... in a healthcare setting (home health or hospice) + Medicare Skilled Nursing experience and a basic understanding of...a basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- CenterWell (Clarksville, IN)
- …administrators. Nearly 250,000 total patients served in 2022, including those in Medicare Advantage, value-based arrangements or other Medicare programs. As a ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- 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