• Compliance Professional

    Humana (Annapolis, MD)
    …part of our caring community and help us put health first** Humana Healthy Horizons in Virginia is seeking a Compliance Professional 2 who will lead incoming ... risk, compliance , regulatory or related experience). + Regulatory or Medicare/ Medicaid compliance experience. + Auditing experience working with auditing… more
    Humana (09/13/24)
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  • LTSS Director - Aetna Better Health…

    CVS Health (Richmond, VA)
    Virginia resident + Experience with DSNP populations + Experience with Virginia Medicaid (DMAS) **Education** Master's degree in behavioral health field, or ... CEO, DSNP Senior Leadership Clinical Health Services, Centers for Medicare and Medicaid Services, and State Agencies to build a transparent and trusting… more
    CVS Health (08/02/24)
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  • Virginia Case Management Specialist 2

    Public Consulting Group (Columbus, OH)
    …intellectual and developmental disabilities eligible to receive services from one of three Virginia DD- Home and Community Based Services Medicaid Waivers + This ... intellectual and developmental disability (IDD) needs assessors in the Virginia Developmental Service (DS) Regions (Western, Northern, Southwest, Central and… more
    Public Consulting Group (09/04/24)
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  • VSP Physician - CenterWell - Virginia

    CenterWell (Norfolk, VA)
    …Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor. + Completes all medical record documentation in a ... 'on-call' program of CenterWell as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend...and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five… more
    CenterWell (06/26/24)
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  • IDD Waiver Assessor Service Support Facilitator…

    Kepro (Charleston, WV)
    …Required Qualifications/Experience: + Bachelor's Degree and be a Qualified Mental Health Professional (QHRP). + Minimum of 2 years of experience with Medicaid ... + Demonstrated ability to uphold confidentiality standards and ensure HIPAA compliance when evaluating pertinent issues. + Strong organizational skills are… more
    Kepro (08/29/24)
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  • Compliance & Policy Analyst

    Apria (Lansing, MI)
    …submission of documents for internal and external audits related to Medicare, Medicaid and private insurance. **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Assists in ... the development and implementation of compliance programs for the organization. + Monitors business activities for compliance with applicable rules and… more
    Apria (08/16/24)
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  • Researcher - Monitoring & Compliance

    American Institutes for Research (Chapel Hill, NC)
    …full-time **Researcher** with a strong background in Medicare and Medicaid policyto join AIR'sHealth Division (https://www.air.org/our-work/health) . The Researcher ... support to evaluation and analytical support for Centers for Medicare & Medicaid Services (CMS), states, and foundations. Candidates hired for the position may… more
    American Institutes for Research (08/20/24)
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  • Learning Facilitator/Preceptor (Care Management)

    Humana (Richmond, VA)
    …community and help us put health first** Humana Healthy Horizons in Virginia is seeking Learning Facilitators/Preceptors (Learning Facilitation Professional 2s) ... all company training requirements for company, quality, and regulatory compliance . + Analyzes course evaluations to judge effectiveness of...office in Glen Allen, VA and within the six Medicaid Regions in Virginia for collaboration and… more
    Humana (08/11/24)
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  • Direct Support Professional

    Service Source (Lorton, VA)
    …building partnerships and providing services for adults with developmental disabilities in Northern Virginia for over 50 years. We continue to be a an employer of ... to social, community inclusion, communication, behavior, and skill development. Ensure compliance with all State and Federal regulatory guidelines, including … more
    Service Source (07/17/24)
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  • Advanced Practice Provider (NP/PA/APP)- Inpatient…

    University of Virginia (Charlottesville, VA)
    …medical center, UVA possesses a rich culture of continual education and professional development that welcomes engaged learners. Staffing & Scheduling Information: * ... providing clear explanations and addressing questions/concerns. * Documentation and Compliance : o Maintain accurate and thorough patient records, including progress… more
    University of Virginia (08/28/24)
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  • Board Certified Behavior Analyst

    Service Source (Lorton, VA)
    …You will also train and support staff to implement behavior plans and ensure compliance with Virginia DBHDS Human Rights, Office of Licensing, other behavioral ... Human Rights Committee meetings for review of plans. Maintains compliance with Virginia DBHDS Human Rights, Office...Licensed Behavior Analyst. + Required: Maintain qualifications to bill Medicaid . + Must pass the State of Virginia more
    Service Source (07/16/24)
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  • Advanced Practice Provider (PA/NP/App) - Family…

    University of Virginia (Charlottesville, VA)
    …and interventions to ensure and improve quality care * Maintains compliance and regulatory documentation for the purposes of administration and reimbursement ... applicable research standards for all disciplines and areas of practice Professional Development: * Maintains professional licensure, DEA registration (as… more
    University of Virginia (09/17/24)
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  • Advanced Practice Provider (APP NP/PA) Orthopedic…

    University of Virginia (Charlottesville, VA)
    …and interventions to ensure and improve quality care * Maintains compliance and regulatory documentation for the purposes of administration and reimbursement ... applicable research standards for all disciplines and areas of practice Professional Development: * Maintains professional licensure, DEA registration (as… more
    University of Virginia (07/06/24)
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  • Field Assistant / RBT: Full-Time (In-home…

    Therapeutic Alliance, LLC (Sterling, VA)
    …Therapeutic Alliance LLC is a private behavioral and mental health agency offering professional behavioral health and counseling throughout Virginia for the past ... regulations. + Comply with privacy laws and requirements under HIPAA and Medicaid /Medicare regulations and understand the consequences of non- compliance . +… more
    Therapeutic Alliance, LLC (09/11/24)
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  • Hospitalist Physician (PRN)

    VHC Health (Arlington, VA)
    …level including implementation of quality control standards, risk management and compliance programs.The role of a physician is to provide quality clinical ... experience required. Certifications/Licensure: Licensed to Practice Medicine by the Virginia Department of Health Professions is required. SUMMARY We are… more
    VHC Health (07/01/24)
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  • Associate Director, Care Management (Ltss/ABD)

    Humana (Richmond, VA)
    …**.** + An active, unrestricted, Registered Nurse (RN) license or Licensed Mental Health Professional (LMHP) in the Commonwealth of Virginia . + Five (5) years of ... caring community and help us put health first** Humana Healthy Horizons in Virginia is seeking an Associate Director, Care Management (LTSS/ABD) who will lead teams… more
    Humana (08/29/24)
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  • Urgent Care APP - Nurse Practitioner / Physician…

    VHC Health (Arlington, VA)
    …level including implementation of quality control standards, risk management and compliance programs. Education: Master's in Nursing Required Experience: Two Years ... an Advanced Practice Registered Nurse (Nurse Practitioner) by the Virginia Department of Health Professions Required Licensed as a...region that was named a Center for Medicare & Medicaid Services Four-Star Hospital, and is also designated as… more
    VHC Health (07/21/24)
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  • Hospitalist APP - Nurse Practitioner / Physician…

    VHC Health (Arlington, VA)
    …including implementation of quality control standards, risk management and compliance programs. Experience: + Two Years Nurse Practitioner Preferred ... as a Nurse Practitioner or Physician Assistant by the Virginia Department of Health Professions Required + Licensed as...region that was named a Center for Medicare & Medicaid Services Four-Star Hospital, and is also designated as… more
    VHC Health (07/09/24)
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  • Nurse Practitioner - Behavioral Health (PRN)

    VHC Health (Arlington, VA)
    …level including implementation of quality control standards, risk management and compliance programs. Schedule: PRN Weekend Shift (Friday - Sunday) Qualifications: + ... an Advanced Practice Registered Nurse (Nurse Practitioner) by the Virginia Department of Health Professions required + Licensed as...region that was named a Center for Medicare & Medicaid Services Four-Star Hospital, and is also designated as… more
    VHC Health (07/07/24)
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  • Behavioral Health Benefits Administrative…

    State of Colorado (CO)
    …for this position: Option 1: Experience Only: Six (6) total years of professional experience in Medicaid , Behavioral Health, or an occupational field closely ... - 9.2024 Department Department of Health Care Policy and Financing Division Medicaid & Behavioral Health Initiative & Coverage Office Opening Date 09/16/2024 Closing… more
    State of Colorado (09/17/24)
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