- 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
- Mayo Clinic (Rochester, MN)
- …inclusion, and provides the resources you need to succeed. **Responsibilities** The HIMS Regulatory Specialist role will work with a large, diverse, and ... standards, quality improvement methodology, and facilitation skills. Accrediting and regulatory bodies: Center for Medicaid & Medicare Services, The… more
- Penn Medicine (Philadelphia, PA)
- …compliance activities and outcomes. Ensures that all initiatives are in compliance with accrediting, regulatory , and institutional standards Maintains the ... hospitals and its leaders and staff to ensure full compliance with state licensure regulations, hospital conditions of participation...to any necessary follow-up of both announced and unannounced regulatory body site visits with a focus on the… more
- The Cigna Group (Nashville, TN)
- …and procedures to routine instructions that require professional knowledge in specialist areas. + Provide standard professional advice and creates initial ... services rendered. + Provide notification of decisions in accordance with compliance guidelines. + Participation in staff meetings, regular trainings and other… more
- LA Care Health Plan (Los Angeles, CA)
- …units in audit universe preparation and validation. Assists in document preparation for regulatory and internal audits. Regulatory compliance : Works closely ... Customer Solution Center Compliance Audit Specialist II Job Category:...the guidelines and protocols to ensure readiness for all regulatory audits. This position will develop, with the assistance… 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
- Molina Healthcare (Columbus, OH)
- …Please identify this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one ... or more of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Acts as a lead specialist to provide project-,… 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 ... for USFHP and GA audits and accreditation Overall Key Outcomes: + For Medicare Focused Specialist : + Researches, processes and resolves Part C reconsiderations… more
- Molina Healthcare (Dallas, 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
- Ventura County (Ventura, CA)
- …and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement ... Medical Billing Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4658466) Apply Medical Billing... and audit issues and work progressively with the compliance office to identify and resolve regulatory … 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 ... Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level...and quality of services to determine the extent of compliance with the state licensure standards and Medicare… more
- NHS Management, LLC (Athens, AL)
- … 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
- Hackensack Meridian Health (Neptune, 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 medical… more
- Health First (Palm Bay, 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
- HonorHealth (Phoenix, AZ)
- …of the study. The position's competencies include operations, coding/billing compliance , Medicare coverage analysis/budgeting, contracting, Clinical Trial ... finance and accounting principles. The successful Associate Clinical Trials Operations Specialist will support business activities of the Honor Health Research… more
- Penn Medicine (Philadelphia, PA)
- …functions with residents/fellows, Medical Laboratory Science and other students. + ** Regulatory Compliance ** : Works with the Division's Quality Assurance ... at the Hospital of the University of Pennsylvania is seeking a Technical Specialist in Electron Microscopy to join their team:** **Summary:** The incumbent's primary… 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
- University of Washington (Seattle, WA)
- …clinical researchers bringing important new therapies to our patients in compliance with evolving regulatory requirements. **POSITION COMPLEXITIES** This ... be used to recruit for several Clinical Research Billing Specialist positions.** As a UW employee, you have a...Trials Office is a central clinical research operation with compliance responsibilities and services across the vast portfolio of… more
- Mount Sinai Health System (New York, NY)
- …progress of corrective action plans/improvement projects and provides feedback on regulatory compliance . Provides comprehensive reports to stakeholders, as ... **Job Description** A member of MSHS regulatory team, the Accreditation Specialist is...readiness program. Responsible for providing direction and oversight for regulatory and accreditation compliance including The Joint… more
- AdventHealth (Bolingbrook, IL)
- …insured and, if so, gathers details (eg, insurer name, plan subscriber) + Performs Medicare compliance review on all applicable Medicare accounts in order ... accuracy, inputs demographics information, and secures the required forms to ensure compliance with regulatory policies + Creates accurate estimates to maximize… more