- Mid Michigan Health (Midland, MI)
- …supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational ... guidelines, Clinical laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. They will coordinate with and train any new… more
- Houston Methodist (Katy, TX)
- …Fry Rd. Katy, TX 77450** **. (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with ... Medicare compliance experience is preferred** **Note:...Center for Medicare /Medicaid Services (CMS), other applicable regulatory agencies, and/or Houston Methodist Internal Audit compliance… more
- Centene Corporation (East Syracuse, NY)
- …develop, implement and complete corrective action plans to resolve identified deficiencies in compliance with regulatory and business requirements + Serve as a ... with key stakeholders, to assure vendor performance consistently meets regulatory requirements and internal business objectives + Monitor vendor performance,… more
- Ardon (Portland, OR)
- As we continue to grow, we are seeking a Contracts & Regulatory Specialist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we are ... an elevated role. We are recruiting a Contracts & Regulatory Specialist to join our team of...field strongly preferred. Knowledge of healthcare regulations and related compliance practices, including Medicare and Medicaid regulations.… more
- Aveanna (Houston, TX)
- …Category: Compliance Salary: $90,000 per year Position Details Position Overview The Regulatory Compliance and Coverage Specialist will report to the ... Regulatory Compliance and Quality Review. The Regulatory Compliance and Coverage Specialist ...RN + Thorough knowledge of the home care industry, Medicare and Medicaid coverage requirements, clinical and operations practices,… more
- Hackensack Meridian Health (Paramus, NJ)
- …healthcare and serve as a leader of positive change. The ** Regulatory Specialist ** is responsible for ensuring compliance with Federal, State, and Local ... assigned clinical trials. **Responsibilities** A day in the life of a ** Regulatory Specialist ** at **Hackensack Meridian** **_Health_** includes: + Organizes and… more
- Ventura County (Ventura, CA)
- Compliance Specialist Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4483114) Apply Compliance Specialist Salary $76,711.16 - ... Questions Description THE POSITION: Under general direction, the incumbent will support regulatory compliance efforts, develop policies, and provide training to… more
- Johns Hopkins University (Baltimore, MD)
- …documentation for professional fee charges by ensuring compliance with government regulatory guidelines (ie Centers for Medicare & Medicaid Services- CMS ... compliance education activities in accordance with the Professional-Fee Services Compliance Plan. Ensures real-time monitoring of regulatory based … more
- Ventura County (Ventura, CA)
- …and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement ... they effectively lead and train billers on Managed Care, Medicaid, Medi-Cal, Medicare , and Commercial Insurance, ensuring regulatory adherence and operational… more
- Martin's Point Health Care (Portland, ME)
- …and education + 5+ years experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist ) or TRICARE (for USFHP ... to Work" since 2015. Position Summary Job Description Position Summary: The Appeals Specialist ( Medicare or US Family Health Plan) is responsible for ensuring… more
- Molina Healthcare (TX)
- …and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality ... or more of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Acts as a lead specialist to provide project-,… more
- Molina Healthcare (Hidalgo, TX)
- …implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ ... of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Implements key quality strategies, which may include initiation… more
- Louisiana Department of State Civil Service (LA)
- …autonomy and decision making skills in addition to intense investigation skills to determine regulatory compliance . The ever changing world of regulatory ... and quality of services to determine the extent of compliance with the state licensure standards and Medicare...Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level… more
- AdventHealth (New Smyrna Beach, FL)
- …goals, objectives, policies and procedures and ensures quality patient care and regulatory compliance . Actively participates in outstanding customer service and ... patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation… more
- NHS Management, LLC (Webb City, MO)
- … Specialist Consultants, Internal Auditor, or any other corporate or regulatory compliance consultant. Communicates progress toward goals and ongoing ... Specialist Consultants, Internal Auditor, or any other corporate or regulatory compliance consultant. Communicates progress toward goals and ongoing… more
- Health First (Rockledge, FL)
- …demographics information, and secure the required forms to meet compliance with regulatory policies. 3. Perform Medicare compliance review on all ... Inc. by achieving sustainable levels of internal and external customer service, regulatory compliance , and financial performance within the revenue cycle.… more
- Health First (Rockledge, FL)
- …demographics information, and secure the required forms to meet compliance with regulatory policies. 3. Perform Medicare compliance review on all ... Inc. by achieving sustainable levels of internal and external customer service, regulatory compliance , and financial performance within the revenue cycle.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and Disease Process. + Knowledge of Medicare Part A. + Familiar with Medicare Part B. + Knowledge of the regulatory environment. + Understand and support ... and serve as a leader of positive change. The **Clinical Documentation Specialist ** facilitates improvement in the overall quality, completeness and accuracy of… more
- Signature Healthcare (Louisville, KY)
- …HealthCARE! How you Will make a difference + Ensure that a company-wide regulatory compliance program is ongoing in accordance with company policies, standards ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...all facilities which includes teaching, training, and application of compliance skills necessary to enhance our resident care and… more
- Trinity Health (Sioux City, IA)
- …Days **Position Purpose** The purpose of the Accreditation and Risk Management Specialist is to facilitate regulatory and risk management activities, in ... role is a lead resource in the Centers for Medicare and Medicaid Services (CMS) regulatory requirements...works collaboratively with the health care team to ensure compliance with regulatory and accrediting bodies. +… more