- CVS Health (KS)
- …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... partnership with - and under the direction of - the health plan, Medicare Compliance Officer, and other team members, this position will help develop and… more
- Highmark Health (Charleston, WV)
- …are met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with ... STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to assess the needs… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Baylor Scott & White Health (Austin, TX)
- JOB SUMMARY The Third Party Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance... Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and entities on … more
- Humana (Oviedo, FL)
- …put health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to the development, implementation, and management of the ... company's Medicare /Medicaid Five-Star Quality Rating System. The Senior Stars Improvement,...Experience. The Nurse Senior Stars Improvement, Clinical Professional / Consultant focuses on areas of clinical emphasis related to… more
- Banner Health (AZ)
- …knowledge of laws and regulations pertaining to health care, regulatory compliance , Medicare /Medicaid and/or financial reimbursement systems. Must possess strong ... **Department Name:** Compliance -Corp **Work Shift:** Day **Job Category:** Compliance **Estimated Pay Range:** $40.91 - $68.19 / hour, based on location,… more
- MyFlorida (Tallahassee, FL)
- …and reviews applications and supporting documents for completeness, accuracy and compliance with state licensure and/or Medicare certification requirements ... 68061377 - HEALTH SERVICES & FACILITIES CONSULTANT Date: Sep 30, 2025 The State Personnel...for all matters pertaining to the state licensure and/or Medicare certification of assigned programs, and for the coordination… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Senior Policy Consultant Location: Hybrid | Eagan, Minnesota Career Area: Corporate Affairs About Blue ... You Will Have Blue Cross Blue Shield MN is looking for a Senior Policy Consultant to join our team. This position is responsible for serving as the principal policy… more
- PruittHealth (Norcross, GA)
- **HomeHealth Consultant position - Hybrid and Travel opportunity!** **JOB PURPOSE:** The Home Health Consultant collaborates with the Home Health Agencies by ... evaluating and educating agencies/facility staff for compliance with all regulatory groups by making recommendations and suggestions for improvement. Track, trends… more
- PruittHealth (Fayetteville, NC)
- …Senior Vice President Clinical Services and the hospice regional team to provide compliance support services to hospice agencies. The consultant is responsible ... program evaluation, education and monitoring functions to determine agency compliance with all regulatory groups and make recommendation/suggestions for improvement.… more