- CVS Health (Northbrook, IL)
- … managed care organization. In partnership with and under the direction of the Chief Medicaid Compliance Officer and Medicaid Compliance leadership team, ... other key department projects and initiatives to improve and enhance Aetna's Medicaid Compliance program, and serve as the compliance representative on… more
- Molina Healthcare (Chicago, IL)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations ... satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the… more
- AdventHealth (Hinsdale, IL)
- …accuracy goals. Monitors team performance. Carries out implementation of supervisor/ manager directive. PRINCIPAL DUTIES AND JOB RESPONSIBILITIES: General Duties: ... *Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to… more