- Providence (Irvine, CA)
- …timely responses to client needs while upholding high standards of legal support and compliance . **What You'll Do** + Advise business clients on compliance with ... key healthcare regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and EMTALA. + Draft and review… more
- Highmark Health (Pittsburgh, PA)
- …with all applicable guidelines, regulations and laws established by the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services ... documentation accuracy and completeness. Creates a culture focused on Compliance and Core Behaviors. Builds strong partnerships with Highmark cross-functional… more
- Penn Medicine (Philadelphia, PA)
- …license of said hospital, its leaders and staff to ensure full compliance with federal conditions of participation, state regulations, and accreditation standards. ... groups to consensus on strategies and/or actions necessary to improve compliance to include regulatory, clinical performance, and/or safety outcomes. Develops,… more
- WellSpan Health (York, PA)
- …and some evenings **General Summary** Coordinates clinical research activities and compliance to study requirements, and patient and staff considerations relative to ... study requirements. + Assists investigators in evaluating the quality of care and compliance to protocol requirements. Follows by ensuring compliance with all… more
- State of Colorado (CO)
- …temporary employees pay state, federal and local (if applicable) taxes, Medicare tax, and contribute to the Colorado Public Employees' Retirement Association ... business licenses, engages in outreach and education initiatives, and enforces compliance mandates using a range of intervention strategies necessary to maintain… more
- HCA Healthcare (Dublin, GA)
- …of the CQR Quality Workplan and will ensure all education efforts promote compliance and awareness of the plan. Additionally, this individual will be a subject ... matter expert (SME) in ensuring compliance with national coding guidelines, CCU and company coding...of unique coding requirements for major payers such as Medicare , Medicaid, HMO's, PPO's, IPA's, employers, etc. + Demonstrate… more
- Humana (Olympia, WA)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
- Highmark Health (Pittsburgh, PA)
- …care management principles, operational efficiency, financial performance, and regulatory compliance . The Director will lead and develop high-performing teams, ... health coaching, care coordination, and member outreach. Monitor and maintain compliance with clinical guidelines, quality metrics, best practices, and all… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …+ REPORTING REQUIREMENTS: Timely submits required data to the Center for Medicare and Medicaid Services (CMS). + CHART AUDITS/ COMPLIANCE : Coordinates monthly ... + HIPAA (Health Insurance Portability and Accountability Act): Works to ensure compliance with HIPAA requirements. Participates in ongoing activities related to the… more
- Sunrise Senior Living (Boca Raton, FL)
- …the continuity of the total regimen of care. **Quality Assurance and Regulatory Compliance ** + Strive for excellent quality care and service delivery as measured in ... and implement appropriate plans of action to correct identified deficiencies in compliance with Sunrise expectations for QSR and other regulatory compliance .… more