- CVS Health (Scottsdale, AZ)
- …This position follows a hybrid working model of three days onsite per week The Sr . Manager , Medicaid Compliance Monitoring will lead a team of compliance ... to develop and execute a comprehensive audit and/or monitoring plan within our Medicaid line of business that enhances enterprise value and is executed in accordance… more
- CareOregon (Portland, OR)
- …hired for remote positions must reside in Oregon or Washington. Job Title Sr Accountant Exemption Status Exempt Department Finance Manager Title Accounting ... reporting. This position is also responsible for internal and external relations, auditing , and general administration. Senior accountants are responsible for… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement Senior ** **Location:** This is a virtual position; US based. _National Government Services is a proud member of Elevance Health's family of ... contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement … more
- Commonwealth Care Alliance (Boston, MA)
- …follow-up validations of internal processes and vendors, as assigned. Apply auditing expertise to report on compliance with established internal control procedures ... performance indicators **Additional Responsibilities** + Support Corrective Action Plan (CAP) Manager in communicating on new and existing CAPs emerging from source… more
- CVS Health (Southfield, MI)
- …working schedule of three days onsite per week in Southfield, MI The Sr . Compliance Manager is an experienced/career level compliance position that applies ... and DSNP products in a highly matrixed environment. The Sr . Manager Compliance maintains productive relationships and...described in CMS Medicare Managed Care Manuals and applicable Medicaid rules including risk assessment, auditing and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Tribal Time Study Project Manager ** **Job Class: Accounting Officer Senior ** **Agency: Human Services Dept** + **Job ID** : 81468 + **Location** ... cost allocation regulation. This position will serve as project manager for Medicaid Administrative Tribal Time Study...macros used to analyze data. + Experience reviewing and auditing large financial accounts and reports. + Variety of… more
- AristaCare (Cranford, NJ)
- …should have at least a few years of experience as a SNF Business Office Manager with thorough knowledge of the Medicaid process. Purpose of Your Job Position ... related to billing and accounts receivable, census processing and Medicaid applications. The Business Office Manager processes...financial documents and reports. + Must be knowledgeable in auditing principles and practices. + Must not pose a… more
- Banner Health (Tucson, AZ)
- …team work goals. CORE FUNCTIONS 1. Under direction of PAS Director and/or Sr . Manager , provides mentoring and clear developmental opportunities to staff. Able ... by US News & World Report. The academic medical center has earned Magnet Recognition becoming the only hospital in southern Arizona to meet the rigorous standards of… more
- Bassett Healthcare (Cooperstown, NY)
- …contract language, fee structure, data setup, and internal and independent external auditing . Coordinates all 340B related meetings with Senior Leadership, IT, ... possible. What you'll do Reporting to the Chief Pharmacy Officer, the 340B Manager is responsible for compliance and administration of the 340B Drug Pricing Program… more
- Sodexo (Cleveland, OH)
- …optimize their business!** Sodexo is hiring a **Facilities Engineering Compliance Manager ** for **University Hospitals Health System** in **Cleveland, OH** . This ... healthcare system and contribute to our Regulatory Compliance Program. The Manager will be responsible for planning, developing, implementing, and auditing… more
- Kedrion Biopharma (Fort Lee, NJ)
- …working alongside KBI FP&A Manager , Melville Plant Controller, Senior Accounting Manager , Senior Manager Treasury & KBI Sales Director in a matrix ... team structure. Responsibilities: + Manage overall sales flow to meet revenue recognition rules and principles. + Develop and lead monthly review process with… more
- University of Rochester (Rochester, NY)
- Responsibilities **Position Summary:** **This position oversees outpatient Medicare, Medicaid and third-party payor audits, and directs all responses to assure ... for all internal and external sources regarding routine audits, including Medicare and Medicaid credit balance quarterly audits, audits obtained from the Office of … more
- Baylor Scott & White Health (Dallas, TX)
- …Internal Audit is responsible for planning, developing, and enforcing the internal auditing function for Baylor Scott and White Health (BSWH), which includes ... professional auditing projects focused on monitoring risks, establishing controls, safeguarding...such as the Joint Commission, Centers for Medicare and Medicaid (CMS), National Committee for Quality Assurance (NCQA), Health… more
- CenterWell (Tallahassee, FL)
- …CPT, & HCPCS codes that are submitted to the Centers for Medicare and Medicaid Services (CMS), other payers, and over government agencies. In addition, the Associate ... their linkages to related areas. **Productivity and Quality Management:** + Monitor auditing staff workload and redistribute resources as needed to meet market… more
- City of New York (New York, NY)
- …of regulation, law and policy. Experience with compliance measures and auditing , preferably including Medicaid . Understanding of program evaluation, performance ... WHO ARE PERMANENT IN THE CIVIL SERVICE TITLE OF HEALTH SERVICES MANAGER AND OTHER COMPARABLE CIVIL SERVICE TITLES INCLUDING, ADMINISTRATIVE STAFF ANALYST (ONLY… more
- NorthWest Senior & Disability Services (Salem, OR)
- …analytical accounting activities in support of the Agency's Finance and Budget Manager . Serves as a technical resource to fiscal services staff. Essential Functions ... + Support Finance and Budget Manager to meet goals and objectives. + Perform advanced...(GAAP) + Perform a wide range of advanced accounting, auditing , and budgeting assignments including preparation of journal entries,… more
- Commonwealth Care Alliance (Boston, MA)
- …follow-up validations of internal processes and vendors, as assigned. Apply auditing expertise to report on compliance with established internal control procedures ... performance indicators. **Additional Responsibilities** + Support Corrective Action Plan (CAP) Manager in communicating on new and existing CAPs emerging from source… more
- LA Care Health Plan (Los Angeles, CA)
- …and workgroups, project documentation and workflows, draft and complete presentations, auditing and monitoring of performance standards, and other duties as ... for the Regulatory Compliance unit, the Advisor also advises and supports the Manager , Director, and Chief Compliance Officer on other duties as assigned to support… more
- Elevance Health (Columbus, OH)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Lead** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division within the Department of Health and Human Services).… more