Are you a business? Hire medicare compliance candidates in Kearny, NJ
... on Medicare in medically underserved communities. By providing holistic, comprehensive and ... Ensure clinical excellence, compliance with regulatory guidelines, and promotion of the Oak Street ...
... 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 ...
... 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 ...
