- Houston Methodist (Katy, TX)
- …Fry Rd. Katy, TX 77450** **. (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with ... Medicare compliance experience is preferred** **Note:...Center for Medicare /Medicaid Services (CMS), other applicable regulatory agencies, and/or Houston Methodist Internal Audit compliance… more
- Sedgwick (Memphis, TN)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Medicare Compliance -Proactive Reduction Outreach **PRIMARY PURPOSE** **:** To perform ... analysis and interpretation of interventions for the preparation of Medicare Set-Aside allocations. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Contacts providers… more
- Ardon (Portland, OR)
- As we continue to grow, we are seeking a Contracts & Regulatory Specialist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we are ... an elevated role. We are recruiting a Contracts & Regulatory Specialist to join our team of...field strongly preferred. Knowledge of healthcare regulations and related compliance practices, including Medicare and Medicaid regulations.… more
- Aveanna (Houston, TX)
- …Category: Compliance Salary: $90,000 per year Position Details Position Overview The Regulatory Compliance and Coverage Specialist will report to the ... Regulatory Compliance and Quality Review. The Regulatory Compliance and Coverage Specialist ...RN + Thorough knowledge of the home care industry, Medicare and Medicaid coverage requirements, clinical and operations practices,… more
- Hackensack Meridian Health (Paramus, NJ)
- …healthcare and serve as a leader of positive change. The ** Regulatory Specialist ** is responsible for ensuring compliance with Federal, State, and Local ... assigned clinical trials. **Responsibilities** A day in the life of a ** Regulatory Specialist ** at **Hackensack Meridian** **_Health_** includes: + Organizes and… more
- VHC Health (Arlington, VA)
- Clinical Operations Regulatory Specialist Job Description Purpose & Scope: The position of Clinical Operations Regulatory Specialist provides auditing ... position ensures that the training and auditing are in compliance with the department's standards, regulatory bodies,...Hospital, received a 5-star rating from the Centers for Medicare and Medicaid Services (CMS) and once again named… more
- Johns Hopkins University (Baltimore, MD)
- …documentation for professional fee charges by ensuring compliance with government regulatory guidelines (ie Centers for Medicare & Medicaid Services- CMS ... compliance education activities in accordance with the Professional-Fee Services Compliance Plan. Ensures real-time monitoring of regulatory based … more
- University of Washington (Seattle, WA)
- …patients in compliance with evolving regulatory requirements. The Billing Compliance & QC Specialist (payroll title: Program Operations Specialist ) ... Trials Office has an outstanding opportunity for a Billing Compliance & QC Specialist to join their...and discretion in the interpretation and application of the Medicare Clinical Trial Policy, and all relevant UW Medicine… more
- Martin's Point Health Care (Portland, ME)
- …and education + 5+ years experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist ) or TRICARE (for USFHP ... to Work" since 2015. Position Summary Job Description Position Summary: The Appeals Specialist ( Medicare or US Family Health Plan) is responsible for ensuring… more
- Molina Healthcare (Phoenix, AZ)
- …and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality ... or more of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Acts as a lead specialist to provide project-,… more
- Molina Healthcare (TX)
- …implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ ... of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Implements key quality strategies, which may include initiation… more
- Centene Corporation (Tallahassee, FL)
- …day-to-day health plan policies and procedures to ensure federal and state regulatory compliance . **Education/Experience:** + Bachelor's degree in related field ... and state requirements. + Conduct periodic assessments and audits to ensure compliance with contractual and regulatory requirements and timeliness of submission.… more
- AdventHealth (New Smyrna Beach, FL)
- …goals, objectives, policies and procedures and ensures quality patient care and regulatory compliance . Actively participates in outstanding customer service and ... patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation… more
- NHS Management, LLC (Webb City, MO)
- … Specialist Consultants, Internal Auditor, or any other corporate or regulatory compliance consultant. Communicates progress toward goals and ongoing ... Specialist Consultants, Internal Auditor, or any other corporate or regulatory compliance consultant. Communicates progress toward goals and ongoing… more
- Health First (Rockledge, FL)
- …demographics information, and secure the required forms to meet compliance with regulatory policies. 3. Perform Medicare compliance review on all ... Inc. by achieving sustainable levels of internal and external customer service, regulatory compliance , and financial performance within the revenue cycle.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and Disease Process. + Knowledge of Medicare Part A. + Familiar with Medicare Part B. + Knowledge of the regulatory environment. + Understand and support ... and serve as a leader of positive change. The **Clinical Documentation Specialist ** facilitates improvement in the overall quality, completeness and accuracy of… more
- Trinity Health (Sioux City, IA)
- …Days **Position Purpose** The purpose of the Accreditation and Risk Management Specialist is to facilitate regulatory and risk management activities, in ... role is a lead resource in the Centers for Medicare and Medicaid Services (CMS) regulatory requirements...works collaboratively with the health care team to ensure compliance with regulatory and accrediting bodies. +… more
- Signature Healthcare (Louisville, KY)
- …HealthCARE! How you Will make a difference + Ensure that a company-wide regulatory compliance program is ongoing in accordance with company policies, standards ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...all facilities which includes teaching, training, and application of compliance skills necessary to enhance our resident care and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and Disease Process. + Knowledge of Medicare Part A. + Familiar with Medicare Part B. + Knowledge of regulatory environment. + Understand and support CDMP(R) ... and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of… more
- Baylor Scott & White Health (Temple, TX)
- …on member issues, as needed. **KEY SUCCESS FACTORS** + Sales and regulatory experience in Medicare Advantage, Marketplace, and Commercial insurance. + ... **JOB SUMMARY** The Sales Training Specialist is responsible for developing and implementing an...Texas Department of Insurance (TDI) and the Center for Medicare and Medicaid Services (CMS) regulations; maintains training log… more