- CVS Health (Phoenix, AZ)
- …+ In partnership with and under the direction of the health plan Medicare Compliance Officer and other team members, this position will help ... program and promote compliant and ethical behavior in our Medicare Advantage health plans. Responsibilities include, but...and compliance department responsibilities required under the Medicare Compliance Program, which include but are… more
- Commonwealth Care Alliance (Boston, MA)
- …Vice President Medicare Compliance /National Medicare Compliance Officer to develop and maintain an effective Health Plan Regulatory Compliance ... and disseminating requirements to appropriate internal staff. The Director of Medicare Compliance is accountable to strengthen internal controls, educational… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …role reports to this job: Director, Medicare Advantage Compliance & Medicare Compliance Officer + Necessary Contacts: In order to effectively fulfill ... manages administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program, including development and maintenance of… more
- MetroLink (Los Angeles, CA)
- Compliance Officer I Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4290847) Apply Compliance Officer I Salary $74,150.00 - ... + Description + Benefits SUMMARY PURPOSE OF POSITION The Compliance Officer I will monitor contractor performance...EEO/ADA MEDICAL: SCRRA offers a choice of twelve (12) health plan options provided through the California Public Employees'… more
- Somatus (Mclean, VA)
- …of relevant professional experience in healthcare with at least five years of experience as a Compliance Officer at a health care organization. + At least 5 ... of the Company's senior management team, the VP, Corporate Compliance Officer (CCO) is a catalyst for... compliance certification, such as Certified in Healthcare Compliance (CHC) Certificate from the Health Care… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Director Quality Management/ Compliance Officer 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #11961 Monday, June 3, 2024 Director of Quality and ... Health Regulations outlined in NYCRR 10 section 763, Medicare and Medicaid billing rules and other governmental oversight...Corporate Compliance Program. Serves as the Agency's Compliance Officer . Ensure effective staff training and… more
- CareFirst (Baltimore, MD)
- …contact for Centers for Medicare and Medicaid Services (CMS) for Medicare compliance communications. o Responsible for ensuring overall compliance ... Doctor, or Masters Degree, or other advanced degree, or a certificate in health compliance is highly preferred. **Knowledge, Skills and Abilities (KSAs)** +… more
- Brookdale Senior Living (Brentwood, TN)
- …who have been with us for at least a year. Responsibilities The VP, Compliance Officer implements, maintains and provides direction and oversight for Brookdale's ... an enterprise-wide collaborative effort to achieve a culture of compliance . The VP, Compliance Officer ...compliance program, as defined by the Department of Health and Human Services ("HHS") and the HHS Office… more
- USAA (Phoenix, AZ)
- …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 ... of process, procedures and requirements related to Centers for Medicare & Medicare Services (CMS) + Extensive experience working health claims and/or … more
- UCLA Health (Los Angeles, CA)
- …implementing, and maintaining accounting and finance functions for the newly formed Medicare Advantage health plan. Key Responsibilities include: + Leading, ... reporting based on regulatory requirements for but not limited to Centers for Medicare and Medicaid Services, Department of Managed Health Care, Internal Revenue… more
- RWJBarnabas Health (Oceanport, NJ)
- … Officer IReq #:0000138249 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding South Location: System ... set due to the complexity and risk relative to Medicare patients. Quality Officer I must also...accuracy rate. Adherence to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines set forth by RWJBH,… more
- UCLA Health (Los Angeles, CA)
- …Director of Pharmacy Benefits Management! Reporting directly to the Chief Medical Officer of Medicare Advantage, you'll spearhead the development and oversight ... and evaluation. It will be your duty to ensure the financial health , service quality, and operational efficiency of our pharmacy benefit programs. Collaboration… more
- McLaren Health Care (Bay City, MI)
- …McLaren Greater Lansing. This employee monitors the recipient rights system to ensure compliance with the Michigan Mental Health Code and the Michigan Department ... a monthly report detailing Recipient Rights activities to the Director, Behavioral Health and the President/Chief Executive Officer ; 17. Submits report of… more
- Access Dubuque (Dubuque, IA)
- Chief Financial Officer **Crescent Community Health Center** 1 Positions ID: 1216328 Posted On 06/03/2024 **Job Overview** Why Crescent Community Health ... Officer , and as part of the Crescent Community Health Center (CCHC) Leadership Team, lead CCHC to meet...the Electronic Handbook (EHB) and Uniform Data Systems (UDS), Medicare and Medicaid Cost Report activities. The ideal candidate… more
- City of Henderson (Henderson, KY)
- …ensure compliance with property maintenance, building, zoning, nuisance, public health , park rules and other municipal codes and regulations; and performs ... Public Response Officer (Code Enforcement)* Print (https://www.governmentjobs.com/careers/henderson/jobs/newprint/4516700) Apply Public Response Officer (Code… more
- City of Henderson (Henderson, KY)
- …ensure compliance with property maintenance, building, zoning, nuisance, public health , park rules and other municipal codes and regulations; and performs ... Public Response Officer (Code Enforcement) (Part-Time) Print (https://www.governmentjobs.com/careers/henderson/jobs/newprint/4516792) Apply Public Response … more
- Henry Ford Health System (Detroit, MI)
- Henry Ford Hospital is seeking an Associate Chief Quality Officer who will be responsible for implementing strategy and for operational leadership for Quality, ... programs and initiatives including quality assurance, performance improvement, regulatory, compliance , and risk. The campus includes the hospital and on-site… more
- Catholic Health Services (Smithtown, NY)
- Overview Catholic Health is seeking a dynamic physician executive to join the organization as Chief Medical Officer (CMO) for St. Catherine of Siena Hospital. ... diseases, gastroenterology, wound care and nephrology. Job Details Chief Medical Officer Responsibilities: Developing innovative programs that will ensure that the… more
- Universal Health Services (Memphis, TN)
- …states, Washington, DC, Puerto Rico and the United Kingdom. www.uhs.com Chief Executive Officer (CEO) - Lakeside Behavioral Health System Since 1969, Lakeside ... Responsibilities About Universal Health Services One of the nation's largest and...all ages. Lakeside is a fully accredited, state-licensed and Medicare certified system, with comprehensive inpatient and outpatient programs… more
- Marshfield Clinic (Marshfield, WI)
- …is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with ... most exciting missions in the world!** **Job Title:** Planned Giving Officer **Cost Center:** 101651105 Foundation Administration **Scheduled Weekly Hours:** 40… more