Are you a business? Hire medicare compliance candidates in West New York, NJ
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 ...
... Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan ... Performs all MLTC/MAP management activities in compliance with all regulatory agency requirements
This position is responsible for ensuring that Medicare Advantage membership enrollment is in sync ... compliance and accuracy of various types of member correspondence specific to retroactive ...
The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS, QARR, Medicare Advantage Star measures and quality improvement ...
Health Care Attorney with 2-5 years of law firm experience in health care transactions including; regulatory and compliance issues, and litigation. Candidates should be familiar with medicare and ...
Ensure compliance with all infection control policies, procedures and OSHA (Occupational, Safety ... Medicare & Medicaid Services) Deemed Status. * Continually evaluate clinical workflows for ...
Process and resolve Medicare denials and appeals, focusing on medical necessity and coding compliance * Utilize Epic software to manage Workqueues (WQs) and track claim status * Review and analyze ...
The position will provide analytical support and project management to the Senior Manager of Medicare Operations to ensure timely and accurate compliance and execution of Medicare projects. Job ...
Compliance: Ensure compliance with FQHC guidelines, local and state health regulations, and ... Must be Medicaid/Medicare enrolled. * Minimum of 5 years of clinical experience in primary care ...
Ensures their full compliance with prescribed clinical standards. 2. Plans staff orientation and in ... Under the Medicare and Medicaid Programs, Reform of Requirements for Long-Term Care Facilities, as ...
Provide clinical coverage when needed and ensure compliance with managed care principles * Lead ... Medicaid and Medicare Provider IDs in good standing
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 ...
Engage in complex care management, educate participants and staff, and ensure compliance with HIPAA ... License: Must have a Medicaid and Medicare Provider ID. Competitive Salary Health Insurance
