- Option Care Health (Bannockburn, IL)
- …& Risk Management, Finance and Operations. Consults with Legal department on compliance legal issues and implements processes to provide timely notification ... in and reporting from databases with reported matters used by the department. Provide guidance and training to employees on compliance policies, procedures,… more
- Option Care Health (Springfield, IL)
- Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider , there is no limit to the growth of your career. Option Care Health, ... Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we… more
- Option Care Health (Denver, CO)
- …management to provide advice on the interpretation and implementation of compliance policies and to evaluate the compliance implications of planned business ... field.At least 2 years of experience applying knowledge of Medicare, Medicaid , and Managed Care reimbursement guidelines.Certification in Compliance as… more
- Volunteers of America Mid-States (Louisville, KY)
- …in the lives of individuals and communities through a ministry of service. We provide housing for families, veterans, and low-income seniors. We provide care and ... residents to successfully address with their substance use disorder. Will provide assessment, individual, group and family therapies, case management and referral… more
- Northeast Georgia Health System, Inc (Demorest, GA)
- …eligibility of Medicaid recipients and Medicare beneficiaries by utilizing electronic data system when proof of coverage is not available. Accesses Medicare FSS ... according to department guidelines. Documents actions taken on resident's accounts to provide necessary information for fellow workers to follow. Posts payments and… more
- Option Care Health (Nashville, TN)
- …as indicated by location and service line including governmental payers (ie Medicare, Medicaid ). Provider NPI will be credentialed in association with the Tax ID ... Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider , there is no limit to the growth of your career. Option Care Health,… more
- Bridge Personal Care Services (Findlay, OH)
- …policies, procedures, and practices to ensure quality job performance and Medicare/ Medicaid compliance to include OASIS as appropriate. REQUIRED QUALIFICATIONS ... program Currently licensed in the State of Ohio Health Care provider CPR Certified Positive service-oriented interpersonal and communication skills required.… more
- Scott County Hospital (Scott City, KS)
- …Coder reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, ... research, and regulatory compliance . Under the direction of the Health Information Manager,...Reporting published annually by the Centers for Medicare and Medicaid Serves (CMS) and the National Center for Health… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …customer inquiries or concerns. Ensure adherence to security best practices and compliance requirements, such as data privacy regulations. Implement robust ... architects, project managers, and clients, to define technical requirements, provide guidance, and oversee the implementation of projects. The...security measures to protect customer data and maintain the integrity of the product. MINIMUM… more
- Bridge Personal Care Services (Findlay, OH)
- …policies, procedures, and practices to ensure quality job performance and Medicare/ Medicaid compliance to include Home Health and/or Hospice guidelines. ... Driver's license with clean driving record and ability to provide own transportation while on duty required. Commitment to...the life span and possess the ability to assess data reflective of the patient status and interpret the… more
- Bridge Personal Care Services (Findlay, OH)
- …organizational policies, procedures, and practices to ensure quality job performance and Medicare/ Medicaid compliance to include OASIS if appropriate. Duty 9: ... educate patients for appropriate services. This position will coordinate data for input of care plan process. This position...to assess, plan, implement, and evaluate patient care to provide for the unique physical and emotional needs of… more
- Cambia Health Solutions, Inc (Portland, OR)
- …and product enhancements are implemented and delivered to the market timely, in compliance with Centers of Medicare and Medicaid Services (CMS) and First ... departmental teams to meet these objectives, including collaboration with compliance , member experience, marketing, actuary and others.Normally to be proficient… more
- Bridge Personal Care Services (Findlay, OH)
- …policies, procedures, and practices to ensure quality job performance and Medicare/ Medicaid compliance to include OASIS if appropriate. REQUIRED QUALIFICATIONS ... plan, implement, and evaluate patient care in order to provide for the unique physical and emotional needs of...the life span and possess the ability to assess data reflective of the patient status. Must be able… more
- Bridge Personal Care Services (Findlay, OH)
- …of Bridge. JOB DUTIES/RESPONSIBILITIES Duty 1: Demonstrates knowledge and skill necessary to provide appropriate care to the age of the patient enrolled with Home ... with or exceeds Bridge Home Health and Hospice Guidelines. Duty 5: Ensures compliance and follow through with home exercise program Duty 6: Displays Service… more
- Serco (Washington, DC)
- …state eligibility policies and medical records; eligibility reviews, medical reviews, and data processing reviews, of selected state Medicaid and CHIP ... of supervisory experience and subject matter expertise in claims data processing review for the Medicaid and...review to meet requirements of the PERM program. + Provide guidance in determining state compliance with… more
- Guidehouse (Mclean, VA)
- …Will Do** **:** Guidehouse is seeking a motivated, passionate, organized, and detail-oriented Medicaid Data Senior Consultant to support the analysis of State ... Medicaid data . The ideal candidate will have...encounters, financials, etc.) and process to coach stakeholders on data compliance . + Maintains, tracks, and collaborates… more
- Humana (Richmond, VA)
- …provides strategic guidance for the development and implementation of Humana's Virginia Medicaid Compliance Program. The Compliance Officer is responsible ... Residency required The Senior Compliance Professional serves as the designated Compliance Officer for the Virginia Medicaid contract. The Senior … more
- Serco (Washington, DC)
- …state eligibility policies and medical records; eligibility reviews, medical reviews, and data processing reviews, of selected state Medicaid and CHIP ... strong supervisory experience and subject matter expertise in claims data processing review for the Medicaid and...+ Knowledge of payment systems and coding, billing and compliance rules; and + Knowledge of the Medicaid… more
- Serco (Washington, DC)
- …state eligibility policies and medical records; eligibility reviews, medical reviews, and data processing reviews, of selected state Medicaid and CHIP ... project management experience and subject matter expertise in claims data processing review for the Medicaid and...+ Knowledge of payment systems and coding, billing and compliance rules; + Knowledge of the Medicaid … more
- EssilorLuxottica (Mason, OH)
- Manager- Business Data ( Medicaid Reporting) Date: May 6, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 816990 **Position:** ... and hiring process. To request a reasonable accommodation, please call the Luxottica Ethics Compliance Hotline at ### (be sure to provide your name and contact… more
