- The Cigna Group (St. Louis, MO)
- …with overall Compliance Department work plans. + Maintain the Express Scripts Medicaid and Commercial Compliance Plan Summaries. + Coordinate quarterly ... and Commercial will serve as the Express Scripts Medicaid Compliance Officer and have direct oversight...effectively engage with various audiences including internal partners, health plan clients, as well as federal and state regulators.… more
- CenterWell (Kansas City, MO)
- …primary care "on-call" program of CenterWell as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend 100% of your ... and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five...year This job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more
- Elevance Health (Topeka, KS)
- ** Compliance Manager** **Location:** Kansas . This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of ... our Kansas Elevance Health PulsePoint locations. The ** Compliance ...background. **Preferred Skills, Capabilities and Experiences:** + Experience with Medicaid regulator audits. + Medicaid and external… more
- DiPasquale Moore (Kansas City, MO)
- Health Insurance Lien Specialist / Administrative Support Kansas City, Missouri Competitive salary commensurate with experience! REQUIREMENTS: High School Diploma ... personal injury law firm headquartered in the heart of Kansas City, Missouri. Founded in 2013 by Mike DiPasquale...claims related to health insurance and their liens, including Medicaid , Medicare, and ERISA. This role is crucial in… more
- Elevance Health (Wichita, KS)
- **Community Relations Representative III** **Location:** Kansas , this role is open to any Kansas state resident who meets the minimum requirements regardless of ... your location within the state of Kansas . This position is primarily field-based. You can expect...area, participating in community events, and interacting with the Medicaid population. The remaining 1 day per week will… more
- The Cigna Group (Nashville, TN)
- …we further extend our operations serving a variety of Medicare Advantage, Medicaid , and Commercial clients. **Duties & Responsibilities:** + Perform home visits with ... delivered. + Coordinate with patient's other providers including PCP, specialists and health plan case managers to ensure all are working together with the patient… more
- The Cigna Group (Bloomfield, CT)
- …develop programs that meet federal, state and local health privacy standards, regulatory compliance (OSHA, CDC, Centers for Medicare and Medicaid , HIPAA, and ... Care's primary care strategy. * Creates and maintains a strategic plan for the development of occupational health programs, components, technology adoption,… more
- Peak Vista (Colorado Springs, CO)
- …successful audit completion, including Financial Statement Audit, Single Government Audit, Retirement Plan Audit, and other compliance reviews and audits as ... Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Flagler, Divide, Limon, and… more
- CenterWell (Kansas City, MO)
- …capabilities interrelate across the function or segment. As Market CMO over our Kansas City market you will plan , organize, manage, and supervise health ... direction in pursuit of cost effective, quality healthcare. + Plan , organize, manage, and supervise the roles of the...in community and marketing events. + Develop and maintain compliance with the departmental and physician budgets. + Assess,… more
- The Cigna Group (Bloomfield, CT)
- …and the ability to influence and drive change. This position will ensure compliance with the Center for Medicare and Medicaid Services (CMS) guidance/regulations ... for the development and management of the Medicare Prescription Payment Plan (M3P) product. This individual will provide leadership and strategic direction… more
- Intermountain Health (Las Vegas, NV)
- …with disabilities to perform the essential functions. + Knowledge of CMS Medicare, Medicaid , Managed Care and Commercial health plan billing, reimbursement and ... care, financial modeling, strategic planning and marketing. + Knowledge of compliance , practice briefs, white papers, and other publications guiding ethical and… more
- CenterWell (Durham, NC)
- …medical group practice with centers open or opening in Florida, Georgia, Kansas , Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas. CenterWell ... "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
- Peak Vista (Colorado Springs, CO)
- …and highest quality service. + Demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements. + Enhances the ... Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Flagler, Divide, Limon, and… more
- Peak Vista (Colorado Springs, CO)
- …and highest quality service. + Demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements. + Enhances the ... Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Flagler, Divide, Limon, and… more
- The Cigna Group (Bloomfield, CT)
- …patient's family on chronic medical conditions, preventative care, and medication adherence compliance ; + Perform urgent care visits in the home and telephonically ... multidisciplinary team which may include: patients' PCPs and health plan case managers; + Sharing after hour on-call coverage...+ Must be able to be credentialed by Medicare, Medicaid , and other Private Insurance Companies + Experience with… more
- The Cigna Group (Bloomfield, CT)
- …+ Close gaps and barriers to medication adherence and assisting customers with compliance of 90-day refill rates versus 30-day, driving utilization of home delivery ... of chronic condition/population health management. + Direct Managed Care Health Plan and/or Pharmacy Benefit Manager (PBM) experience + Strong understanding of… more
- The Cigna Group (Bloomfield, CT)
- …with clear alignment to business milestones, system processes, technology currency, compliance and audit needs, service-level agreements, and other relevant metrics, ... principles, and experience leading in a Scaled Agile paradigm. Medicare/ Medicaid knowledge + Experience with a cloud platform such...to be eligible to participate in an annual bonus plan . We want you to be healthy, balanced, and… more
- The Cigna Group (Nashville, TN)
- …goals against production within their book of business, assist in recruiting, business plan development and new agent training . Meet or exceed sales objectives ... market goals . Adheres to and maintains current understanding of compliance requirements and organizational policies & procedures, marketing guidelines and broker… more
- The Cigna Group (Philadelphia, PA)
- …family on chronic medical conditions, preventative care, and medication adherence compliance + Coordinate with patient's other providers including PCP, specialists ... and health plan case managers to ensure all are working together...+ Must be able to be credentialed by Medicare, Medicaid , and other Private Insurance Companies + DEA license… more
- Mental Health Association of SCK (Wichita, KS)
- …and cleanliness. The Residential Care Team Leader will provide AC/PR/TCM Medicaid billable services. Completion of state required, annual internal, and program ... with Residential Care policies and procedures. Ensures residents awareness and compliance with all policies and procedures. Facilitates the transition and/or… more