- Sedgwick (Boston, MA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Medicare Compliance - Proactive Reduction Outreach **PRIMARY PURPOSE** ... review, and analysis and interpretation of interventions for the preparation of Medicare Set-Aside allocations. **ARE YOU AN IDEAL CANDIDATE?** We are looking for… more
- State of Massachusetts (Boston, MA)
- …at least (A) three years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B) ... an approved school of nursing must have applied for the first available registered nurse examination. Special Requirements: Based on assignment, possession of a… more
- Commonwealth Care Alliance (Springfield, MA)
- …as NP or PA in primary care or care management AND 3+ years' experience as Registered Nurse or EMT-P in a high touch clinical environment or home care; OR ... and referrals to LTSS providers + Medication Reconciliation + Proactive and routine well-visits and preventative care + Evaluate...or PA graduate, must have 5+ years' experience as Registered Nurse or EMT-P in a high… more
- Commonwealth Care Alliance (Boston, MA)
- …enhance the risk adjustment data ecosystem. + Support audit readiness and regulatory compliance for Medicare and Medicaid risk adjustment programs. + Represent ... in SQL, data integration, and systems development are essential. Knowledge of Medicare risk adjustment methodologies is highly desirable. The ideal candidate is a… more
- Baystate Health (Springfield, MA)
- …for leading the hospital's enterprise-wide strategies in **patient safety** and **regulatory compliance ** . Reporting to the **Chief Medical Officer (CMO)** , this ... The VP oversees incident management, risk mitigation, policy development, and proactive strategies to reduce harm while supporting the hospital's mission of… more