- 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
- 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
- Point32Health (Canton, MA)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the oversight of the Senior Manager of Consulting and Operations, this individual will support ... a health plan, provider group, healthcare IT / management consultancy or auditing firm. + Understanding of claims systems, provider information, Medicaid… 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
- Fallon Health (Worcester, MA)
- …and LinkedIn. **Brief summary of purpose:** Under the general direction of the Senior Internal Audit Manager , theAnalyze and interpret patient medical records ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
- Humana (Columbus, OH)
- …Finance, Operations or other related fields or 3+ years with Medicare and/or Medicaid claims processing or auditing experience + 2+ years of leadership, ... part of our caring community and help us put health first** The Manager , Encounter Data Management develops business processes to ensure successful submission and… 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
- HCA Healthcare (Nashville, TN)
- …focus is on tuning the NLP through the investigation of focus areas as defined by CATT Sr . Manager and or Lead. + Analyze NLP Precision & Recall Outcomes on all ... patient types as assigned. Analysis by patient type/code set may be established by Sr . Manager /Lead but rotation of assigned types will occur. + Identify… more
- Ramsey County (St. Paul, MN)
- Healthcare Compliance Manager Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/4730411) Apply Healthcare Compliance Manager Salary $83,490.36 ... Time Remote Employment Flexible/Hybrid Job Number 2024-01219 Department 21A01-County Manager /Admin Opening Date 11/15/2024 Closing Date 12/6/2024 11:59 PM Central… more
- Point32Health (MA)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Director or Senior Manager of the department, the Compliance Program Manager ... as sharp analytical skills. By using knowledge of the company, the Compliance Program Manager III should be able to resolve most roadblocks to ensure success and… 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
- CVS Health (Hartford, CT)
- …skills and development needs. + Assess training needs and collaborate with the SIU Sr . Manager to create development plans for team members. + Develop and ... with contractual requirements. + Coordinate and collaborate with compliance and senior leadership to align on program integrity initiatives. + Contribute to… 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
- Peak Vista (Colorado Springs, CO)
- …Department activities by performing the following duties. Supervision Exercised: Materials Manager , FP&A, A/P, Payroll, Senior Accountants, Staff Accountants ... ID:1108-4867 Department Location:3205/3207 N. Academy, Colorado Springs, CO 80917 Category: Manager / Professional Description Peak Vista Community Health Centers is… more