- Molina Healthcare (Columbus, OH)
- … Medicare segment leaders who are responsible for the development and administration of Medicare segment specific programs and services, in alignment with ... and quality levels exist in line with Centers for Medicare & Medicaid Services (CMS) and State regulatory... Medicare & Medicaid Services (CMS) and State regulatory requirements. + Monitor and support sales and retention… more
- Molina Healthcare (Scottsdale, AZ)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... for CMS audits and data-validation reviews * Ability to quantify financial, regulatory , and member-experience risk from complaint trends and to drive prioritized… more
- Centene Corporation (Raleigh, NC)
- …management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an ... process for overseeing compliance with regulations and laws related to Medicare requirements + Provides guidance to various business departments regarding compliance… more
- Molina Healthcare (Madison, WI)
- …Medical License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- Molina Healthcare (Madison, WI)
- …databases and ensure adherence to business, system and regulatory requirements of Provider Data Management/Network Adequacy. **Knowledge/Skills/Abilities** + ... **REQUIRED EDUCATION:** Bachelor's Degree in a related field (Business Administration , Finance, Mathematics, Statistics, Computer Science etc.) or equivalent… more
- Centene Corporation (Queens, NY)
- …Initiatives (VBP) will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is critical in managing ... end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will… more
- Community Health Systems (Franklin, TN)
- …+ HS Diploma or GED required + Associate Degree in Business, Finance, Healthcare Administration , or a related field preferred + 0-2 years of experience in medical ... environment while meeting productivity and quality standards. + Knowledge of regulatory compliance, including HIPAA, FDCPA, and applicable healthcare finance laws.… more
- RWJBarnabas Health (Oceanport, NJ)
- …reports filings. In partnership with the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare Bad Debts, Wage ... as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment...payments programs and will be asked to assist with regulatory research. The Director will also work… more
- University of Colorado (Aurora, CO)
- **Finance & Accounting Assistant Director ** **Description** **University of Colorado Anschutz Medical Campus** **Department: College of Nursing** **Job Title: ... Finance & Accounting Assistant Director ** **Position #:00706656 - Requisition #:36608** **Job Summary:** **Supervision Exercised:** **Examples of Work Performed:**… more
- Diversicare Healthcare Services & Diversicare Ther (Jackson, MS)
- … regulatory compliance. Additionally provide subject matter consultation on Medicare , Medicaid and Managed Care reimbursement and regulatory guidelines. ... expectations."_ Diversicare has an exciting opportunity for an **Area Director of Clinical Reimbursement** . In this role you...reimbursement. 2. Train and consult with center staff and administration on the RAI, Medicare , Medicaid and… more
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