Are you a business? Hire medicare compliance candidates in Fort Lee, NJ
Top Healthcare Provider Network Join our team of highly skilled clinical and administrative healthcare professionals who support our mission to help facilitate the deliver of world-class, patient-centered care by one of the top healthcare provider networks. Opportunity to grow as part of a Reve...
... on Medicare in medically underserved communities. By providing holistic, comprehensive and ... Ensure clinical excellence, compliance with regulatory guidelines, and promotion of the Oak Street ...
Ensure compliance with State and Federal regulations. * Participate in Quality Assurance and ... Familiarity with Home Healthcare, Medicare, and Medicaid preferred. * Preferred Case Management ...
... experience with Medicaid/Medicare programs. * Proficiency in SQL for data extraction ... Knowledge of healthcare compliance and quality metrics. Key Responsibilities: * Data Analysis ...
Acts in compliance with corporate, hospital and all relevant regulatory policies. Responsibilities ... As required by the Centers for Medicare and Medicaid Services (CMS), Hospital Conditions of ...
Minimum 10 years of experience working with Medicare and Medicaid laws/regulations in a managed care compliance or regulatory department, including holding a senior position * In-depth knowledge of ...
... Teams, Medicare CMS, preferred. RN Director of Patient Services Assists in the overall ... Complies with appropriate policies and procedures and brings potential compliance matters to the ...
... compliance * Monitors TPA expenses regarding assignment of outside claim investigators, nurse case management, physician reviews, Medicare/SCHIP Set-Asides * Coordinates complex claim resolution with ...
... Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan ... Ensures compliance with Federal, State and City regulations as they relate to the HIV SNP and HIV ...
Qualifications: * 2-6 years of health law experience involving regulatory and compliance issues ... and Medicare/Medicaid (as well as similar state laws) * JD from an accredited university and ...
