- Novo Nordisk Inc. (WA)
- …Intellectual Property, Supply Chain, Private Health Insurance, Medicare , Medicaid , Reference Pricing, Pricing / Price Increases, Reimbursement , Privacy, ... in Plainsboro, NJ or Washington, DC. The Position The Director - US Tax, Trade, IP works on complex...savings plan; flexible spending accounts; employee assistance program; tuition reimbursement program; and voluntary benefits such as group legal,… more
- Sanctuary Hospice (Cleveland, OH)
- …with all hospice-specific regulations, laws, and policies, including those related to Medicare / Medicaid matters. Under the guidance of senior management, you ... Overview Sanctuary Hospice is looking for a Program Director to oversee our Hospice Program in Cleveland!...years of hospice experience required with intimate knowledge of Medicare / Medicaid and Department of Aging and Disability… more
- Wealthy Group of Companies LLC (Overland Park, KS)
- …opportunities, secure funding through grants orcommercial insurance reimbursements (no Medicare / Medicaid ), ensurecompliance with federal and state regulations ... nationalexpansion. This role is 100% in office, in Paola Kansas. The Executive Director at our Paola, Kansas facility is the highest-ranking leader in our flagship… more
- Regal Medical Group, Inc. (Northridge, CA)
- …Oversee compliance with all health plan, state, and federal regulatory requirements (eg, DMHC, Medicaid , CMS Medicare Part C & D, NCQA where applicable) to prior ... Position Summary: The role of the Director , Prior Authorization Clinical RN is to manage...Company celebrations Employee Assistance Program Employee Referral Bonus Tuition Reimbursement License Renewal CEU Cost Reimbursement Program… more
- Tennessee Hospital Association (Brentwood, TN)
- …on hospital reimbursement and methodologies, including, but not limited to, Medicare and Medicaid . 4. Prepares draft letters and position statements for ... waiver proposals, and others. 5. Develops and maintains a working knowledge of Medicare reimbursement systems in order to make strategic recommendations for… more
- Healogics (Ashland, OH)
- …accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential ... patients that would benefit through our out-patient clinic partnerships The Program Director or Program Manager is responsible for the management and the strategic… more
- NorthShore (Arlington Heights, IL)
- …compliance with the Illinois Department of Public Health (IDPH), and the Center for Medicare & Medicaid Services (CMS) regulations and NCH and medical staff ... multiple access services areas or sites to provide information to maximize reimbursement and ensures timely and thorough information to all other providers and… more
- DHR Health (Edinburg, TX)
- …criteria and review processes highly desirable. Knowledge and understanding of Medicare and Medicaid guidelines and regulations pertaining to utilization ... team the patients at risk of losing insurance coverage or HINN notification of Medicare and Medicaid patients. Maintains a proactive role to ensure appropriate… more
- UCare (Minneapolis, MN)
- ABOUT UCARE UCare offers Medicare , Medicaid , Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams ... provider systems. Familiarity with state and federal health care programs, including Medicare , Medicaid and Affordable Care Act (ACA) plans. Experience drafting… more
- Presbyterian Medical Services (Alamogordo, NM)
- …hospital, if applicable. *DEA license and New Mexico Controlled Substance Registration (CSR). * Medicare PIN and UPIN numbers. * Medicaid number. *Have or be able ... is provided by the program Administrator . The Medical Director must operate in accordance with the terms and...Examiners. *DEA license *New Mexico Controlled Substance Registration (CSR) * Medicare PIN and UPIN numbers * Medicaid Number… more
- Hackensack Meridian Health (Hackensack, NJ)
- …knowledge of CPT and ICD coding in Emergency Medicine. Maintains knowledge of Medicare and Medicaid payment policies. Prepares and delivers lectures to residents ... Assists in the development of policies/procedures as directed by the Chair/Sr. Director of Administration. Serves as a department liaison for hospital and medical… more
- Quipt Home Medical Corp (Sun City, AZ)
- …skills *Strong communication skills with capacity to make independent decisions * Medicare / Medicaid and insurance billing, bookkeeping or medical office ... with us. Position: Customer Service Representative Position Reports To Branch Manager/CSR Director Position Summary As a Customer Service Representative, you are a… more
- Apple Rehab (Mystic, CT)
- …and CMA Appeal Requests to ensure timely submission to the Corporate Clinical Reimbursement Director Prepares and mails resident account statements quarterly and ... in long-term care billing and collections; working knowledge of State Medicaid and Medicare law and third party insurance. Patience, tact and a positive… more
- Children's Health (Dallas, TX)
- …Joint Commission Resources and other regulatory agencies such as Centers for Medicaid and Medicare . Participate in and coordinate ongoing readiness activities ... Health System of Texas. Assist both the Manager of Accreditation and Sr. Director in overall continual regulatory readiness and compliance with all standards and… more
- myPlace Health (Los Angeles, CA)
- …expert knowledge , including a strong understanding of community resources, Medicaid / Medicare , and public benefit programs to help participants thrive. ... supportive leader , with direct reporting to our Executive Director , ensuring guidance and collaboration every step of the...service area - and don't worry, we offer mileage reimbursement to support you on the go! $95,000 -… more
- Tennessee Orthopaedic Clinics (Knoxville, TN)
- …surgical procedures. Possesses a good working knowledge of insurance companies, ie, Medicare , Medicaid , and commercial payers. Able to link appropriate carrier ... notation in patient comments in Advantx. Works directly with the Clinical Director , or designee, to communicate any special requests, ie, supplies, equipment for… more
- Rochester Regional Health (Newark, NY)
- …and reporting tools highly desired. May need previously experience in CMS, Medicaid / Medicare billing, and other regulatory processes. EDUCATION: LICENSES / ... Oversees the review process of third party payors with oversight from the Director of Care Management. Provides daily oversight of the onsite review activities of… more
- Signature HealthCARE, LLC (Monterey, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified ... Federal, State, and Local Standards, guidelines and regulations and as required by Director of Nursing. Confirm that all nursing personnel assigned to you comply… more
- Signature HealthCARE, LLC (Horse Cave, KY)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified ... Federal, State, and Local Standards, guidelines and regulations and as required by Director of Nursing. Confirm that all nursing personnel assigned to you comply… more
- CommuniCare Family of Companies (Keyser, WV)
- …timely completion of mds assessments and coordination of the RAI process. Provides Medicare , Medicaid (case mix), and managed care oversight to ensure ... appropriate clinical services are provided and appropriate reimbursement is received for each resident. This includes ensuring that the centers are in compliance… more
