- Marshfield Clinic (Beaver Dam, WI)
- …coordination, provision and supervision of care and services and regulatory compliance . By maintaining expert knowledge of regulations and applying this knowledge ... the OASIS instrument has on quality and financial outcomes, as well as compliance . This position works both independently and interdependently, and is skilled in… more
- Marshfield Clinic (Beaver Dam, WI)
- …all resident care and business decisions. Ensure the facilities operate in compliance with all local, state, and federal regulations. Interacts with residents, ... FUNCTIONS** 1. Development of a qualified team to ensure compliance with Federal and State Codes. 2. Provides direct...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
- Intermountain Health (Concord, NH)
- …and sequencing. Maintains working knowledge of reimbursement methodologies, regulatory compliance and quality-based programs. 4. Participates in the development and ... with disabilities to perform the essential functions. 1. Knowledge of CMS Medicare , Medicaid, Managed Care and Commercial health plan billing, reimbursement and… more
- Humana (Albany, NY)
- …performance, data integrity, and security through rigorous governance and proactive compliance practices. + Build a best-in-class HR data and analytic platforms ... build stakeholder alignment, and drive innovation. + Familiarity with compliance standards, HR data governance, and system audit-readiness. **Preferred… more
- Medtronic (Minneapolis, MN)
- …position supports engagement with commercial payers, managed care organizations, and Medicare Advantage plans. Additionally, this role requires experience and skill ... trends, competitive activities, and payer medical policy changes. + Ensure compliance with all relevant laws, regulations, and internal policies. Exercise sound… more
- WellSpan Health (York, PA)
- …strict confidentiality of patient's health information. Completes annual WSH Corporate Compliance , and other mandatory education. + Supports the provider during the ... duties as identified. + WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity,… more
- Columbia Memorial Hospital (Astoria, OR)
- …drug screens, utilizing a chain of custody. Responsible for front end laboratory compliance checking as well as following Medicare Medical Necessity rules. ... an ongoing liaison between clients and providers. Knowledge in laboratory compliance and Medical Necessity. Knowledge in testing requirements for collecting,… more
- UnityPoint Health (Cedar Rapids, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... concerns regarding compliance to the immediate attention of hospital administrative staff....action on concerns reported by department staff related to compliance . Qualifications + Bachelor's Degree in Human Services Field… more
- Access Dubuque (Dubuque, IA)
- …Dental Insurance, etc. **Major Responsibilities:** + Maintain thorough knowledge of Medicare , Medicaid, and other third party payor regulations, ensuring Clinic ... compliance with these regulations. Serve as the subject matter expert on regulatory, compliance , and legal requirements associated with medical billing. Be the… more
- ChenMed (Jacksonville, FL)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management… more