- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or ... direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services...are followed, necessary controls are effective and efficient, and compliance with current laws and regulations is achieved. 4.… more
- Bassett Healthcare (Sherburne, NY)
- …your name, "How may I help you?") as observed by Supervisor and as noted in compliance reports + Ends calls by asking patient if there is anything else we can do ... for them today as observed by Supervisor and as noted in compliance reports + Takes clear, complete and accurate phone messages,(and follows up on these messages to… more
- University of Colorado (Aurora, CO)
- …financial policies and procedures and ensure their consistent implementation and compliance with university, college, state, and federal requirements. + Serves as ... enrollment audits and provides feedback to the ED, Operations Manager , and O/E team. + Reviews agreements and MOUs...to support all service lines. + Supports 340B Pharmacy compliance by providing fiscal analysis and participating in audit… more
- Marshfield Clinic (Eau Claire, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... months of hire. + Certified Application Counselor designation through the Centers for Medicare and Medicaid Services within three months from the first fall training… more
- CenterWell (Atlanta, GA)
- …for TB. **Preferred Qualifications:** . Active and unrestricted DEA license . Medicare Provider Number/ Medicaid Provider Number . Experience managing Medicare ... care environment in a value based relationship environment. . Knowledge of Medicare guidelines and coverage. . Knowledge of HEDIS quality indicators. **Additional… more
- WellSpan Health (York, PA)
- …Hospital Operations Leadership Team meetings. + Completes, for Director's and Manager 's review, various government and industry financial surveys independently using ... requests, Pa Health Care Cost Containment Council financial data reporting and Medicare Provider enrollment and change reporting. + Independently compiles data for… more
- CenterWell (Pinellas Park, FL)
- …Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly applicable ... experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Healthfirst (NY)
- …+ Performs first level review of all marketing materials to ensure compliance with State and Federal guidelines. + Prepares and submits marketing materials ... Responsible for entering, maintaining, and monitoring identified projects in Logic Manager and coordinates within Regulatory Affairs team. + Communicates and… more
- State of Colorado (Pueblo, CO)
- …with clinical direction of nursing staff, QA/PI activities and to ensure compliance in all areas, and interdisciplinary collaboration. This position is accountable ... to ensure all nursing assignments and duties are completed and in compliance with CMHIP policies and psychiatric and medical nursing standards, licensure… more
- Silicon Valley Power (Santa Clara, CA)
- …of protection and control systems, communication systems, project management, and Compliance is desirable. The candidate should have extensive knowledge of ... only general direction. This position supports day-to-day utility operations and Compliance . **For the Customer Development and Project Management Division:** + The… more