- Martin's Point Health Care (Portland, ME)
- …plan functions that interface with Medical Management such as Health Management, Compliance and Appeals, , Network Management, Member Services, benefits & claims ... management, and Compliance . In this role, there is the opportunity to...Experience in Health Plan utilization management + Experience in Medicare Advantage and/or TriCare preferred Required License(s) and/or Certification(s):… more
- HCA Healthcare (Asheville, NC)
- …Improvement, and the Director of Case Management. Responsible for ensuring facility compliance with The Joint Commission, Centers for Medicare and Medicaid ... strengths, takes risks, and is committed to optimal patient care, and compliance with standards. + Attending HCA-mandated training and meeting all ethics and… more
- Ochsner Health (Morgan City, LA)
- …including the Medical Staff Standards of The Joint Commission, Centers for Medicare & Medicaid Services or Credential Management System (CMS) and National Committee ... apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This...and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including… more
- SSM Health (St. Louis, MO)
- …**Teaching & Research Finance Oversight:** + Ensure accurate financial tracking and compliance for GME (Graduate Medical Education) funding, Medicare DGME/IME ... long-range financial models for medical education and research growth. **Governance, Compliance & Reporting:** + Maintain robust financial controls and ensure … more
- City of Alpharetta, Georgia (Alpharetta, GA)
- …and administering budget; prepares budget requests; monitors expenditures for compliance with approved budget. + Performs related administrative functions; maintains ... by Employee Manual & Benefits Handbook or bona fide occupational qualifications). In compliance with the Drug-Free Workplace Act of 1988, the City of Alpharetta is… more
- UTMB Health (Galveston, TX)
- …and hosts virtual departmental meetings as needed. + Manages documentation and compliance for faculty Continuing Medical Education (CME) credits in accordance with ... activities. + Serves as the Department Procurement Card Coordinator, ensuring compliance with purchasing policies. + Manages faculty parking logistics, including… more
- Aveanna Healthcare (Fairview Heights, IL)
- …Additionally, the Executive Director is responsible for initiating and maintaining compliance with all Federal and State regulations governing Home Health Care ... Agencies, and ensuring compliance with Aveanna's policies and procedures. The Executive Director...time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Avera (Sioux Falls, SD)
- …current reimbursement developments on third party remittances and maintains compliance with coding/billing requirements. + Directs the preparation, completion and ... claims, both electronic and paper formats. + Processes explanation of Medicare Benefits for supplemental insurances. + Verifies bill accuracy and responsible… more
- UnityPoint Health (Sioux City, 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 related field or… more
- UnityPoint Health (Sioux City, 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 + BS in Respiratory Care or related… more