- Commonwealth Care Alliance (Boston, MA)
- …does not have direct reports. Essential Duties & Responsibilities: Regulatory Compliance & Monitoring * Monitor CMS and MassHealth regulations, bulletins, ... compliance with state and federal healthcare regulations, particularly MassHealth (Massachusetts Medicaid) and CMS Medicare requirements. This role… more
- Fallon Health (Lowell, MA)
- …for people age 65 and older, who live in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose:**… more
- Fallon Health (Lowell, MA)
- … regulatory requirements and Program policies and processes o Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- Commonwealth Care Alliance (Boston, MA)
- …waste and abuse; suspected privacy and/or security incidents; or any compliance concerns identified + Ensures confidentiality of patient and company proprietary ... Medicaid Enrollment + If works in MA role requires MassHealth Enrollment + Candidate will be required to pass...to manage competing priorities + Familiarity with MA nursing regulatory scope and guidelines **Desired Knowledge, Skills & Abilities:**… more