- US Physical Therapy (York, PA)
- …Previous outpatient orthopedic clinic experience + Exercise and Manual based skills, Medicare compliance responsibilities and Sports Rehab + Outgoing and ... energetic personality Please apply online with your hourly pay requirements to be considered. **Additional Information** We are proud to be an equal opportunity and affirmative action employer. We prohibit discrimination and harassment of any kind based on… more
- The Joint Commission (Springfield, IL)
- …from the field, analysis of periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of- compliance reports. + ... inductive reasoning skills to determine a health care organization's degree of compliance with applicable standards and functionality of care delivery systems. Field… more
- Stanford Health Care (Palo Alto, CA)
- …balance sheet reserves. + Serve as the subject matter expert on regulatory compliance reporting, including Medicare and Medi-Cal cost reports + Lead alignment ... within the Controller's Office, responsible for overseeing the organization's compliance reporting and non-patient services reimbursement activities. This role… more
- Wipfli LLP (Milwaukee, WI)
- …leading the respective service area, region or industry, the Manager, Provider Compliance & Reimbursement is responsible for preparing cost reports and providing ... the Senior Living space. This role includes reviewing skilled nursing Medicare cost reports, understanding the skilled nursing Medicaid reimbursement systems for… more
- Stanford Health Care (Palo Alto, CA)
- …billing, including federal and state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services) and OIG (Office of Inspector General) compliance ... need to need to be removed from an account + Conducts audits for Medicare /Medicaid Cost Outlier accounts prior to billing, ensuring itemized bill is accurate. +… more
- Katmai (Usaf Academy, CO)
- …Facility (MTF) instructions. **ESSENTIAL DUTIES & RESPONSIBILITIES:** + Ensures compliance with standards of care and practice (Accreditation Association for ... as needed at the local treatment facilities. + Assists TRICARE eligible and Medicare -eligible patients in accessing local TRICARE and Medicare providers in… more
- Abt Global Inc. (Rockville, MD)
- …execution and delivery. + Oversee administrative and fiscal operations, ensuring compliance with funding requirements and efficient resource allocation. + Manage ... government stakeholders. + Ensure alignment of project goals with Medicare and Medicaid program and payment policy frameworks. **What...+ At least 5 years of experience working with Medicare , including Part D and Medicare Advantage,… more
- University Health Careers (San Antonio, TX)
- …efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare managed ... Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- …establish alternate sites of care to support patient options. + Possess expertise in Medicare policies and the variations within all parts of Medicare + Ensure ... local conventions when requested. + Ensure behaviors consistent with Healthcare Compliance guidelines Job Qualifications Education: A minimum of a Bachelors Degree… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program oversight and performance tracking - ... learn new systems and databases that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Demonstrated skills in Excel and PowerPoint -… more
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