- Philips (Malvern, PA)
- …on issues facing sales, services, billing and reimbursement, and interactions with healthcare providers and professionals. Also, you will lead and be responsible for ... the seven elements of an effective compliance program to detect and prevent fraud , waste and abuse. **Your role:** + Develop, implement, and maintain policies and… more
- UnityPoint Health (Marion, IA)
- …and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in...patients of need for Advanced Beneficiary Notice (ABN) for Medicare . + Documents on accounts using hospital account note… more
- First Atlantic Health Care (Saco, ME)
- Seal Rock Healthcare , part of the Atlantic Heights Community, is a fully-licensed Medicaid/ Medicare -certified facility offering 105 beds. Under the ownership of ... First Atlantic Healthcare , the Atlantic Heights Community follows in First Atlantic's...when necessary. + Provide information to resident/families as to Medicare /Medicaid, and other financial assistance programs available to the… more
- Centene Corporation (Tallahassee, FL)
- …outcomes. + Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data. + Support execution of large-scale ... economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience.… more
- Rush University Medical Center (Chicago, IL)
- …and procedures. **Other information:** **Required Job Qualifications:** * Associates Degree in Healthcare discipline * AAPC or AHIMA certification (eg CCS, CCS-P, or ... department leadership. * Knowledge and understanding of compliance concepts, such as Fraud , Waste and Abuse, CMS Teaching Physician Rules, documentation and coding… more
- CVS Health (Hartford, CT)
- …financial integrity with sound pricing and risk management practices. The Medicare Actuarial Pricing team is responsible for anticipating and recognizing matters ... to the broader actuarial team. **A Brief Overview** Senior Analysts on the Medicare Actuarial team leverage strong technical skills to analyze data and pricing… more
- UnityPoint Health (Waterloo, IA)
- …knowledge of compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... earned us recognition as a Top 150 Places to Work in Healthcare 2022-2025 by Becker's Healthcare and among America's Best Employers By State in Iowa, Illinois… more
- Zelis (NJ)
- …negotiation with providers + Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs + Strong understanding of ... So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more… more
- Zelis (FL)
- …negotiation with providers + Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs + Understanding of ... So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more… more
- CVS Health (Tallahassee, FL)
- …CDQA) to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... medical codes for diagnoses as documented for physicians and other qualified healthcare providers in the office and/or facility setting. + Thorough knowledge of… more