- Centene Corporation (Austin, TX)
- …member of Medicare & Compliance Senior Leadership, chairs Centene's Medicare Compliance Committee, attends meetings of the Enterprise Compliance ... organization with a commitment to service leadership. + Leading the Medicare Compliance team with a collaborative mindset and demonstrated commitment to… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …the collection, preparation, review, and submission of information, data, and documents to Medicare Advantage Compliance Officer or designee, regulators, or ... perform pre-employment substance abuse and nicotine testing._ **Title:** _Senior Medicare Compliance Analyst_ **Location:** _OH-Brooklyn_ **Requisition ID:**… more
- Point32Health (Canton, MA)
- … with healthcare program requirements. + **Collaboration:** At the direction of the Medicare Compliance Officer , collaborate with leadership and department ... Senior Manager will report to the Government Programs Compliance Officer . This position includes supporting the...state laws and regulations related to the Government Programs Compliance Programs for Medicare and Duals products.… more
- VNS Health (Manhattan, NY)
- …enforcement of polices concerning medical services for Health Plan members.* Ensures compliance with relevant and applicable federal, state and local laws and ... regulations. Works with Compliance and Special Investigation Unit on issues related to...on issues related to Fraud, Waste, and Abuse of Medicare /Medicaid services.* Collaborates with pharmacy services to review PBM… more
- CVS Health (Southfield, MI)
- …individual will work independently, as well as collaboratively, with internal senior level Medicare compliance and business teams that operate MMP and DSNP ... Conduct * Maintains current working knowledge and expertise in Medicare Compliance , Medicaid Compliance and...actions to mitigate organizational risk * Serve as plan compliance officer and act as the primary… more
- USAA (Tampa, FL)
- …Claims Operations. This employee will report to the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a ... work with our third-party supplier and key business partners supporting our Medicare Supplement Claims. As business process owner, the employee will lead planning… more
- AmeriHealth Caritas (Newtown Square, PA)
- …us at www.amerihealthcaritas.com. **Responsibilities:** In conjunction with the Vice President of Medicare Care Management and the Chief Medical Officer , the ... **Corporate Director, Population Health Clinical Operations, Medicare ** Location: Newtown Square, PA Primary Job Function: Medical Management ID**: 37990 **Job… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Compliance Officer to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care ... working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier...more about MDwise, Inc. at https://www.mdwise.org/ **Position Summary:** The Compliance Officer acts as a primary liaison… more
- Sutter Health (Sacramento, CA)
- … issues within their market/network/system service line or team of ethics and compliance officer . Coordinates with ethics & compliance services leaders ... Administers and provides oversight of the Sutter Health (SH) ethics and compliance program at the market/network/system service line level. Functions as the team… more
- Texas Health Resources (Arlington, TX)
- …- monitors compliance and privacy activities and works closely with the Entity Compliance Officer and is accountable to the THR System Compliance ... Bad Debt reserves, Managed Care discounts, accrued liabilities and Medicare /Medicaid liabilities. . Provides and interprets financial information to...to audit findings. o Work with the THR System Compliance Officer as requested on specific … more
- RWJBarnabas Health (Oceanport, NJ)
- …a higher level skill set due to the complexity and risk relative to Medicare patients. Quality Officer 3 must also sustain an excellent organizational average ... Quality Officer III (Inpatient Coding Review) - Hybrid/RemoteReq #:0000175903...assignment for adherence to Federal and State Regulations and Compliance Guidelines. + Critically analyzes each Medicare … more
- UCLA Health (Los Angeles, CA)
- …risk adjustment department. You will be responsible for coordinating mock RADV audits and compliance audits with the compliance officer and the manager of ... can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is… more
- Highmark Health (Pittsburgh, PA)
- …job is responsible for planning, designing, implementing, and maintaining the enGen Compliance Program and its related policies to ensure the business acts within ... responsible for the administration, interpretation, and enforcement of the Compliance Program including auditing/monitoring operational processes, conducting or overseeing… more
- New York State Civil Service (Tupper Lake, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Safety and Security Officer 1 or Safety and Security Officer Trainee, NS (NY-HELPS) ... transfer AND b. Has passed the Safety & Security Officer Trainee Exam. OR Any employee who has had...of Agency properties as assigned by supervisor to ensure compliance with NYS Uniform and/or Life Safety Code, and… more
- City of Henderson (Henderson, KY)
- Public Response Officer (Code Enforcement) (Part-Time) Print (https://www.governmentjobs.com/careers/henderson/jobs/newprint/4652594) Apply Public Response ... Officer (Code Enforcement) (Part-Time) Salary $38.56 Hourly Location Henderson,...response to complaints, or through self-initiated complaints, to ensure compliance with property maintenance, building, zoning, nuisance, public health,… more
- State of Colorado (Adams County, CO)
- Correctional Youth Security Officer I - Prairie Vista Youth Services Center in Brighton, CO Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4740172) Apply Correctional Youth Security Officer I - Prairie Vista Youth Services Center in… more
- Marshfield Clinic (Beaver Dam, WI)
- …of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes ... most exciting missions in the world!** **Job Title:** Security Officer I - Weekend PM **Cost Center:** 101651294 Security...States of America) **Job Description:** **JOB SUMMARY** The Security Officer l is an active member in the Security… more
- Marshfield Clinic (Marshfield, WI)
- …of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes ... to support the most exciting missions in the world!** **Job Title:** Grant Officer (Remote in Wisconsin) **Cost Center:** 301081064 Ctr For Community Health Adv… more
- Marshfield Clinic (Marshfield, WI)
- …of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes ... the world!** **Job Title:** Physician - Assistant Chief Medical Informatics Officer **Cost Center:** 301081251 Systems Operations **Scheduled Weekly Hours:** 4… more
- State of Minnesota (Montevideo, MN)
- **Working Title: Safety & Health Officer 1** **Job Class: Safety & Health Officer 1** **Agency: Minnesota Department of Veterans Affairs** + **Job ID** : 80951 + ... This position will serve as the Safety and Health Officer for the NEW Minnesota Veterans Home - Montevideo....health issues **Preferred Qualifications** + Experience with Center for Medicare and Medicaid Services (CMS) + Experience working in… more