- Medical Mutual of Ohio (OH)
- …responsible for leading the implementation and day-to-day management of Medical Mutual's Medicare Compliance Program, which supports both Medicare Advantage ... **Responsibilities:** + Manages the implementation and operation of the Medical Mutual Medicare Compliance Program. + Serves as Medical Mutual's Medicare … more
- CVS Health (Downers Grove, IL)
- …environment with a current focus on integrated special needs plans. The Sr. Manager Compliance maintains productive relationships and open lines of communication ... heart, each and every day. **Position Summary:** The Sr. Manager is an experienced/career level compliance position...compliant outcomes + Monitor and audit as outlined in Medicare Compliance Work Plan and direct other… more
- CVS Health (Albany, NY)
- …in new and exciting ways every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products ... market performance, cost structure and local execution of medical costs management, compliance , and revenue integrity efforts for all Medicare Advantage products… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth and ensures sales success. This position is responsible for cultivating and ... with independent brokers and general agencies, while ensuring full compliance with Centers for Medicare & Medicaid...while ensuring full compliance with Centers for Medicare & Medicaid Services (CMS), state, and internal regulations.… more
- Houston Methodist (Katy, TX)
- …Access Services, and Utilization Review as needed to ensure operational billing compliance with government/regulatory agencies and the Medicare and Medicaid ... At Houston Methodist, the Manager Revenue Cycle position is responsible for the...guidance to staff and is responsible for staffing, budget compliance , contributing to staffing decisions such as hiring and… more
- CVS Health (St. Louis Park, MN)
- …it all with heart, each and every day. **Position Summary** As the **Senior Manager of Stars** , you will lead the market-wide strategy, performance improvement, and ... execution of the Medicare Stars quality program...(HEDIS, Clinical Operations, Network, Pharmacy, Product, Member Experience, Data/Analytics, Compliance ) to implement evidence-based interventions. + Partner with external… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and… more
- Humana (Miami Lakes, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your… 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
- Fallon Health (Springfield, MA)
- …in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare benefits, including prescription ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose:**… more
- Atlantic Health System (Morristown, NJ)
- The Compliance and Privacy Manager oversees, in pertinent part, the following compliance risk areas: (i) general compliance and compliance program ... privacy, information governance, and data risk classification; (iv) accountable care organization compliance ; (v) Medicare C & D/ Medicare Advantage … more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like ... + Core work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities related… more
- Project Renewal, Inc. (New York, NY)
- Title: Senior Manager , Compliance Program: Legal, Varick Headquarters Salary Range: $90,000 - $100,000 per year Overall Responsibilities: The Senior Manager , ... in healthcare and related human services. The Senior Manager , Compliance reports to the Director of...state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid/ Medicare , Part 2). + Ensure the organization's compliance… more
- Muckleshoot Indian Tribe (Auburn, WA)
- JOB SUMMARY The Health Information Systems & Compliance Manager oversees the accuracy, security, and compliance of patient health information while leading a ... key link between clinical, administrative, and IT teams, the manager strengthens data integrity, compliance readiness, and...and prepare for external regulatory reviews to maintain full compliance with CMS, Medicare , Medicaid, and state… more
- Serco (Herndon, VA)
- **Position Description** Serco is seekinga self-starter **Senior Manager Compliance ** to join our talented and fast-paced team supporting millions of people ... email to: careers@serco-na.com . Click here to apply now (https://careers-sercous.icims.com/jobs/72095/sr.- manager - compliance /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834477830) **New to Serco?** Join our Talent… more
- Brockton Hospital (Brockton, MA)
- …the general supervision of the Vice President of Quality Resources, the Manager of Regulatory Compliance is responsible for overseeing organizational activities ... and monitors action plans for continuous survey readiness and coordinates TJC compliance activities. Utilizing tracer methodology, the Manager organizes tracer… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN43595B **Job Title** Compliance Officer **Working Title** Regulatory Compliance Manager - Hybrid/Remote **Career Progression Track** F **Track ... U of U Health - Academics **Department** 01663 - COMPLIANCE SERVICES **Location** Campus **City** Salt Lake City, UT...medical auditing, Federal healthcare program policies and requirements (including Medicare Parts A and B), and ICD -10, CPT… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Manager Clinical Compliance and Regulatory Accreditation? At HCA Healthcare, you come first. ... have the opportunity to make a difference. We are looking for a dedicated Senior Manager Clinical Compliance and Regulatory Accreditation like you to be a part… more
- Stanford Health Care (Palo Alto, CA)
- …is a Stanford Health Care job.** **A Brief Overview** Manages daily Compliance Program Management operational activities, key compliance initiatives, ... standard work. Assists in the development and maintenance of a robust compliance program for Stanford Health Care, Stanford Children's Health, University Health Care… more
- Centene Corporation (Austin, TX)
- …candidate will have:_** + **_Knowledge of Dual contract requirements (eg, Medicare -Medicaid plans)_** + **_Experience managing external audits and communicating with ... leadership and team management skills_** **Position Purpose:** Manage the Dual compliance department functions, including but not limited to, regulatory and D-SNP… more