- Humana (Springfield, IL)
- …and assists with the management of psychopharmacology pharmacy benefits manager (PBM) activities, including the establishment of prior authorization, clinical ... represents Humana at public forums and engagement opportunities + Maintains compliance with BH-related Contract requirements and attends oversight committee meetings… more
- Marshfield Clinic (Iron Mountain, MI)
- …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 ... interdisciplinary team to ensure continuity of care, timely documentation, and compliance with regulatory and safety standards. Services are provided in accordance… more
- Hannaford (Scarborough, ME)
- …of integrity, professionalism, and confidentiality. * Authorization to fill Medicare and Medicaid prescriptions. ESSENTIAL JOB FUNCTIONS: 1. Process prescriptions ... business as required. DUTIES AND RESPONSIBILITIES: 1. Responsible for ensuring regulatory compliance with Federal and State pharmacy laws and regulations. 2. Partner… more
- Marshfield Clinic (Beaver Dam, 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 ... federal regulations in state and federal codes and Joint Commission and coordinates compliance . 12. Assumes overall accountability for the delivery of care in the… more
- Beth Israel Lahey Health (Burlington, MA)
- …for Medicare and Medicaid Services (CMS) coding, billing and compliance requirements. Working knowledge of patient financial services activities including the ... making a difference in people's lives.** Under the managerial oversight of the Manager of Customer Service and Director of Executive - International Health the… 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)- ... (FH) Appeals and Grievance process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements and… 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 ... shift + Performs routine cleaning duties as assigned by manager or supervisors + Completes sanitation logs. + Completes...concerns regarding compliance to the immediate attention of hospital administrative staff.… more
- Marshfield Clinic (Neillsville, 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 ... to MCHS properties. The Maintenance ll maintains accurate records required for compliance with various regulatory agencies as assigned and remains current with… more
- Marshfield Clinic (Marshfield, 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 ... facilities by utilizing established policies, guidelines and protocols to ensure compliance with requirements of regulatory agencies. Must complete the Respiratory… more
- Humana (Springfield, IL)
- …and LTSS) roles and responsibilities include: + Serve as primary relationship manager with assigned providers to ensure positive provider experience with Humana's ... provider townhalls and/or trainings. + Attend Network Meetings/Conferences. + Ensure compliance with all Virginia managed care contractual requirements for provider… more