- Larson Maddox (Huntington Beach, CA)
- …of Medicare Advantage and HIPAA regulations. Minimum 5 years of experience in Medicare compliance or auditing, with at least 3 years in a leadership role. ... culturally aligned, community-focused care. This role is ideal for a compliance professional passionate about regulatory excellence and operational integrity. As the… more
- Trinity Health (Des Moines, IA)
- …basics of coding diagnoses and procedures as required for insurance authorizations and Medicare compliance . Utilizes online program for Medicare ... physician offices. Ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides excellent… more
- SCAN (Long Beach, CA)
- …possible updates due to audit results and/or change in regulations Work with the Medicare Compliance team when new regulations are released to ensure appropriate ... training. 5+ years' experience in managed health care required. 3+ years compliance experience Demonstrated knowledge of the Medicare Advantage Program and… more
- Lundbeck (Edmond, OK)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance ... - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION,… more
- AdvisaCare (Flint, MI)
- …as needed Compliance with AdvisaCare Hospice Policies and Procedures, Medicare compliance Consulting with and educating the patient/family on disease ... process, self-care techniques, end-of-life care, dealing with issues of ethical concern Supervision of paraprofessionals providing services to patient Preparing clinical and progress notes, participating in IDG conferences Participate in Hospice performance… more
- The ODP Corporation (Wichita, KS)
- …to and including designated certifications, if required. Sales Techniques: Ensures compliance with company policies, procedures, and practices; and supports the ... Life and Accidental Death & Dismemberment Short & Long-Term Disability Medicare Concierge Services Community: Charitable Giving Volunteering & Mentorship For more… more
- Lundbeck (Raleigh, NC)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance ... - Apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION, EXPERIENCE and… more
- Beth Israel Lahey Health (Burlington, MA)
- …preparation and negotiation; works collaboratively with Research Finance to oversee Medicare compliance in research visit billing; monitors research budget ... direction and support to staff as needed. Oversees and ensures staff compliance with the research protocols of the department. Utilizes problem-solving skills and… more
- Novo Nordisk Inc. (WA)
- …as other Market Access & Public Affairs teams, Medical, Legal, Compliance , Communications and other key stakeholders locally and globally. External relationships ... Tax, Trade, Intellectual Property, Supply Chain, Private Health Insurance, Medicare , Medicaid, Reference Pricing, Pricing / Price Increases, Reimbursement, Privacy,… more
- BAYADA Home Health Care (Moorestown, NJ)
- …Manager: Provide direct supervision and support to field clinical staff Ensure compliance with Medicare Conditions of Participation (CoPs), state regulations, ... Occupational Therapist to fill the position of Rehab Manager for our Moorestown, NJ Medicare Certified, Home Health office. Do you want to be part of providing care… more
- Humana, Inc. (Fairfax, VA)
- …our caring community and help us put health first Are you passionate about the Medicare population, looking for an opportunity to work in sales with the ability to ... as well as, visiting prospects in their homes. Our Medicare Sales Field Agents sell individual health plan products...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- JAG Physical Therapy (South Amboy, NJ)
- …monthly budget of visits, labor, and clinical supplies *Monitor documentation audits, Medicare compliance and patients approaching MMR cap *Prompt EMR schedule ... of rehabilitative outpatient clinic providing Physical and Occupational Therapy. Ensures compliance with all regulations and health care requirements. This position… more
- CrewBloom (Hayward, CA)
- …ensuring compliance with all policies and guidelines. Complete all required Medicare compliance training and other mandatory courses as per company policies ... maintain accurate patient documentation, and adhere to all safety and compliance standards. Essential Functions: Understand and adhere to the applicable state… more
- TJM PROPERTY MANAGEMENT INC (Clearwater, FL)
- …families, and staff to address financial inquiries. - Regulatory Compliance : Ensure adherence to healthcare finance regulations and guidelines. Qualifications ... Qualifications: - Experience: Previous experience in Skilled Nursing Facility or a health care setting similar role is preferred. - Skills: Proficiency in MS Excel, excellent organizational and communication skills. - Financial Acumen: Familiarity with billing… more
- Trinity Health (Boise, ID)
- …department staff meetings and department sub teams. Ensures discharge planning compliance with Medicare Conditions of Participation/regulations and Joint ... and procedures. Ensures quality patient care and adheres to regulatory compliance . Provides concurrent assistance and support to physicians and other clinical… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive ... collaboratively with both technical and non-technical staff including Underwriting, Medicare Product Development, Provider Contracting, Sales, and others across the… more
- BJC HealthCare (O Fallon, MO)
- …regulatory guidelines, must be able to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, ... to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state, and accreditation agencies. Responsibilities… more
- SSM Health (Madison, WI)
- …Obtains written orders and prior authorization for appropriate equipment/supplies. Ensures compliance with Medicare , Medicaid and Accreditation Standards. Works ... in a constant state of alertness and safe manner. Performs other duties as assigned. EDUCATION High School diploma/GED or 10 years of work experience EXPERIENCE Two years' experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects… more
- Creative Solutions in Healthcare (Desoto, TX)
- …care in your licensed discipline (PT, OT, or SLP). Monitor and ensure compliance with Medicare , Medicaid, and other reimbursement regulations. Evaluate and ... strong organizational, communication, and team-building skills. Is familiar with Medicare , Medicaid, and alternative payment model guidelines. Can deliver… more
- VIBRANTCARE REHABILITATION, Inc. (Sacramento, CA)
- …basis and adhere to the policies and procedures set forth. Complete all Medicare compliance trainings as required by regulations and/or VibrantCare policies. ... Complete Occupational Safety and Health Administration (OSHA) training on a yearly basis and adhere to standards set forth in OSHA standards and other governmental regulations. Clean and prepare treatment areas and equipment following OSHA guidelines. Carry… more
