- UnitedHealth Group (Fort Washington, PA)
- …to make a difference? Join us to start Caring. Connecting. Growing together. The Director of Actuarial within UHC Medicare & Retirement will lead an actuarial ... claim forecasting, Identifying and quantifying trends in medical cost drivers for Medicare Supplement products. The director will perform critical data analysis,… more
- Healogics (Edmond, OK)
- …patients that would benefit through our out-patient clinic partnerships The Program Director or Program Manager is responsible for the management and the strategic ... financial management, quality/performance improvement, and community education. The Program Director /Program Manager is also responsible for maintaining collaborative and… more
- MBK Senior Living (Portland, OR)
- …training, and personal coaching through our Mentor, Buddy, and Executive Director in Training Programs -Education loan assistance & scholarships -Financial and ... oversee the Dining Services Department under direction from the Director of Dining Services. Essential Job Duties (Include %...provide care and services in a facility that receives Medicare or Medicaid funding. If employed at one of… more
- MBK Senior Living (Manteca, CA)
- …training, and personal coaching through our Mentor, Buddy, and Executive Director in Training Programs -Education loan assistance & scholarships -Financial and ... or directed by Supervisors or designee of the Executive Director 10% - Clean and set up of all...provide care and services in a facility that receives Medicare or Medicaid funding. If employed at one of… more
- MBK Senior Living (Manteca, CA)
- …training, and personal coaching through our Mentor, Buddy, and Executive Director in Training Programs -Education loan assistance & scholarships -Financial and ... times. Essential Job Duties: - Works with the Executive Director to plan and oversee the activities of the...expenditures to include explanation of significant variances to ensure compliance with budget. - Adhere to and carry out… more
- Bluebird Health (Meridian, ID)
- …by the fiscal intermediary with the billing information system, and prepares the annual Medicare cost report for Executive Director review. Supervises the use of ... in accordance with generally accepted accounting principles and in compliance with state, federal and Joint Commission regulations. Maintains comprehensive… more
- CenterWell Primary Care (Birmingham, AL)
- …third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. Coordinates communication between team ... of care and outcome planning. Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals.… more
- City of Coronado, CA (Coronado, CA)
- …of understandings (MOUs), IRS regulations, pension regulations for payroll compliance ; responds to inquiries regarding payroll procedures. Establishes and maintains ... for general ledger posting. Participates in payroll tax activities in compliance with local, state, and federal regulations. Computes and processes retroactive… more
- City of Reidsville, NC (Reidsville, NC)
- …closely with citizens, property owners, and businesses to ensure compliance through inspections, investigations, education, and enforcement actions. The employee ... conducts field inspections and responds to citizen complaints, ensuring compliance with various local and state codes. Duties include preparing legal documents,… more
- ISNP (Lake Oswego, OR)
- …partners with their Clinical Services Manager (CSM), Clinical Team Lead (CTL) or Director of Clinical Operations (DCO) to enhance clinical expertise and adherence to ... manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations Ensuring that all diagnoses are… more
- Atlantic Health System (Morristown, NJ)
- …and registered with the American Registry of Radiologic Technologists (ARRT). 2. Associate 's degree in Applied Science in Diagnostic Radiology. 3. Licensed by the ... highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its...members. Offerings vary based on role level (Team Member, Director , Executive). Below is a general summary, with role-specific… more
- LHC Group, Inc. (Green Bay, WI)
- … Director . Participates in the organization's Performance Improvement and Compliance Programs including adherence to policy and procedures and the development, ... transportation. State Specific Requirements: For Category I and II Medicare Certified Home Health: CT: To be appointed Supervisor...of three (3) years full-time clinical experience or (3) associate degree with a minimum of three (3)years full-time… more
- Marshfield Clinic Health System (Eau Claire, WI)
- …Therapist Assistant works under the direction of the Rehabilitation Services Director and supervision of the Occupational Therapist. This individual is responsible ... the Council for Higher Education and Accreditation. Minimum Required: Associate Degree in Occupational Therapy Assistant Preferred/Optional: None EXPERIENCE Minimum… more
- Humana (Olympia, WA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Carson City, NV)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Little Rock, AR)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Humana (Lansing, MI)
- …diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors ... for our Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a broad understanding of… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Commonwealth Care Alliance (Boston, MA)
- …of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the ... Medicare , and commercial payment methodologies and supports audit, compliance , and provider engagement initiatives. This role also provides support in… more
- SUNY Upstate Medical University (Syracuse, NY)
- …resources. Ensure accurate coding and documentation to support quality initiatives and Medicare compliance . Work closely with clinical teams across seven Primary ... Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role… more
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