- ChenMed (Miami, 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
- KPH Healthcare Services, Inc. (Watertown, NY)
- …Sales Manager ensures that all sales activities align with regulatory compliance and company standards while maintaining exceptional customer satisfaction. **Job ... market opportunities, fosters relationships with referral sources, and ensures compliance with healthcare regulations and internal quality standards. The ideal… more
- Catholic Health Services (Melville, NY)
- …discharge planning (DP), LOC and clinical documentation. + Works with Corporate Compliance to interpret new regulatory and compliance requirements and develops ... for hiring and managing Physician Advisors, along with developing and monitoring compliance with an educational program. + Collaborates with management in recruiting… more
- Centene Corporation (Sacramento, CA)
- …+ Oversees SOX compliance for all controls, and works closely with compliance as needed. + Supervises updates of Medicare fee schedules to assure ... continuously cross-trains staff to maximize knowledge, capabilities, and level of expertise. + Ensures compliance with regulatory changes to processes/documentation.… more
- UnityPoint Health (Rock Island, IL)
- …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 Experience: Must be at least 16 years… more
- Martin's Point Health Care (Portland, ME)
- …medical claims disputes, records, and authorizations for billing, coding, and other compliance or reimbursement related issues + Collaborates with other members of ... benefits structures per line of business and performs functions within compliance , contractual and accreditation regulations, eg Department of Defense, Centers for… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... The FH authorization process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements and… more
- Aveanna Healthcare (Denver, CO)
- …+ Monitor Electronic Visit Verification (EVV) data for regulatory and billing compliance . + Partner with recruiting and sourcing team to address patient staffing ... + Partner with location team to ensure licensure and credential compliance for field staff, including re-credentialing. Client Experience & Communication +… more
- Roper St. Francis (Mount Pleasant, SC)
- …department. Answer multiple phone lines and research order issues for regulatory compliance . File PHI and other documentation for patients. Review the scheduling ... Transports patients as needed to scheduled procedure areas. 20% 5. Compliance : Makes available to patients required information including patient handbooks, notice… more
- Atlantic Health System (NJ)
- …as needed, on imaging devices ensuring State, ACR, MQSA & Joint Commission compliance . + Perform radiation shielding calculations. + Review & approve policies and ... Officer (RSO) at some of the AHS facilities, ensure compliance with regulations on radioactive material use and x-ray...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more