- 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
- 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
- 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
- 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
- The Cigna Group (Bloomfield, CT)
- …quickly + Ability to analyze and interpret Cigna Medicare legal/policy and regulatory changes to ensure compliance + Ability to anticipate and mitigate risks ... (must be located in/or near area)** **Summary** The Cigna Medicare Growth Enablement Specialist will be responsible...overall value proposition as well as federal and state regulatory requirements. This individual will perform a critical role… more
- Molina Healthcare (Las Vegas, NV)
- …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 (Milwaukee, WI)
- …_you must reside in_ **_Wisconsin_** _for this position._ **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one ... of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Implements key quality strategies, which may include initiation… more
- Option Care Health (Bannockburn, IL)
- …**Job Description Summary:** Assists with development, implementation and oversight of compliance and privacy program activities. Supports the execution of the ... Annual Compliance & Privacy Work Plan. Supports policy and procedure...with privacy rules and requirements as well as other regulatory and legal requirements. + Identifies potential areas of… more
- AdventHealth (Tavares, 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
- LA Care Health Plan (Los Angeles, CA)
- …in a high quality and timely manner and ensuring compliance with all regulatory guidelines such as Medicaid (Medi-Cal), Medicare , and the Health Exchange, as ... Quality Management Nurse Specialist RN II Job Category: Clinical Department: Quality...process for potential quality of care and service issues, regulatory compliance with CMS, DMHC, DHCS, and… more
- NHS Management, LLC (Mobile, AL)
- … 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
- CareOregon (Portland, OR)
- …interpret and communicate federal and state requirements relating to Medicaid and Medicare compliance , including the Code of Federal Regulations, Oregon Revised ... Job Title Policy Management Specialist Exemption Status Exempt Department Legal Affairs Manager...years' administrative experience, including 1 year experience in a compliance or regulatory role Preferred + Experience… more
- Martin's Point Health Care (Portland, ME)
- …high quality collaborative care, effective medical costs and service + Knowledge of compliance and regulatory requirements for member and provider care and ... Place to Work" since 2015. Position Summary Clinical Trainer and Quality Assurance Specialist serves as a subject matter expert to ensure DS system clinical staff… 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
- Houston Methodist (Houston, TX)
- …among departments and disciplines to achieve and sustain ongoing accreditation and regulatory compliance . + In partnership with hospital leadership, establishes ... of regulatory , accreditation and certification to assess vulnerabilities to compliance with standards. + Collaborates with hospital leadership to assign teams to… more
- Molina Healthcare (Las Vegas, NV)
- …Provider Directory, marketing materials, and other contract reporting deliverables for compliance with contractual and regulatory requirements prior to ... is hiring for a **Managed Care, Gov Contracts Sr. Specialist ** . This role can be worked remotely from...line of business with oversight of reporting requirements for Medicare and Marketplace. **Highly Qualified Candidates Will Have The… more
- Penn Medicine (Philadelphia, PA)
- …functions with residents/fellows, Medical Laboratory Science and other students. + Regulatory Compliance : Works with the Division's Quality Assurance manager ... Pathology and Laboratory Medicine has an exciting opportunity for an experienced Technical Specialist in its Electron Microscopy lab which is located in the Gibson… more
- AdventHealth (Hinsdale, IL)
- …insured and, if so, gathers details (eg, insurer name, plan subscriber) + Performs Medicare compliance review on all applicable Medicare accounts in order ... accuracy, inputs demographics information, and secures the required forms to ensure compliance with regulatory policies + Creates accurate estimates to maximize… more
- Catholic Health Initiatives (Lexington, KY)
- …the community. **Responsibilities** **Job Summary / Purpose** The Pharmacy Operations Specialist is responsible for CHI Saint Joseph Health System's Medication ... Assistance Programs. The Pharmacy Operations Specialist applies knowledge of pharmaceuticals, insurance plans, social security benefits, manufacturers'… more
- Catholic Health Initiatives (Lexington, KY)
- …**Job Summary / Purpose** The Patient Assistance Coordinator/Pharmacy Operations Specialist is responsible for CHI Saint Joseph Health System's Medication ... Assistance Programs. The Patient Assistance Coordinator/Pharmacy Operations Specialist applies knowledge of pharmaceuticals, insurance plans, social security… more