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The Medicare Sales Representative is involved with health education through the distribution of health ed. In addition, the Medicare Sales Representative provides Facilitated Enrollment, helps facilitate the continuance of health insurance, and offers assistance with recertification.
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This position contributes to the efficiency and compliance of grants and program policies for Refugee Services. Oversees the compliance teams under Refugee Services. The Data and Policy Manager supports RS Program Managers and CCDSD administration by assisting and fulfilling complex reporting requirements for the department’s funding sources.
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Familiarity with Medicare and Medicare Advantage, federal and state Fraud, Waste and Abuse Laws; demonstrated knowledge of value-based care, health plans, CMS policies and guidelines, including those related to marketing; experience relating to broker/agent laws; billing and coding compliance.
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Support policy development and contract compliance for Relativity's federal programs and develop and deliver training on various regulatory and compliance topics for Company employees, with special emphasis on global trade compliance, customer and vendor due diligence and government contracting obligations.
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Implements Empath Health policy/practices to meet all employee health related regulatory standards from the Center for Disease Control (CDC), Department of Health (DOH), Center for Medicare and Medicaid Services (CMS), Occupational Health and Safety (OSHA), and the State of Florida (AHCA.
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MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Additionally, providing clinical support and oversight for all utilization management (UM) activities on an ongoing basis, in accordance with CSMCF policies and procedures and in compliance with applicable state and federal regulations, including CMS and/or Medicare Part D and Medi-Cal, as well as accreditation standards such as NCQA.
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Provide legal advice and counsel regarding health care and general corporate legal issues affecting all areas of the NMHC systems operation, including employment, physician relationships, managed care arrangements, tax-exemption, antitrust, corporate law, governance, patient care and medico-legal issues, licensure, Medicare and Medicaid, medical staff matters, Corporate Compliance, Corporate Governance, and the broad range of regulatory matters affecting health care institutions.
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The Behavioral Health Technician consults with Behavioral Health Provider (BHP) to monitor patient compliance, promote safety and patient engagement within an integrated and therapeutic care milieu.
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As a Senior Manager on the Environmental Compliance and Strategy (ECS) team, you will support internal teams with National Environmental Policy Act (NEPA) compliance for clean energy (e.g., wind, solar, hydrogen) and transmission projects in the United States.
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PSE's Transmission team is looking for qualified candidates to fill an open Regulatory Compliance Consultant - Transmission Policy & Contracts position! This Regulatory Compliance Consultant role is responsible for a variety of items for the Transmission Policy and Contracts team.
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Alternate Solutions Health Network LLC is seeking a LPN / LVN Home Health Hospice for a job in Akron, Ohio. Job Description & Requirements Specialty: Hospice Discipline: LPN / LVN Start Date: ASAP Duration: Ongoing Employment Type: Staff Agency: Summa Health at Home and Hospice Our culture and people are what set us apart from other post-acute care providers.
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In concert with partners and industry leaders, build and elevate a national policy platform that advances resources and programs designed to increase housing supply, advance racial equity, and build resilience and upward mobility for low-income individuals, families, and people experiencing homelessness nationwide.
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The Intake Registered Nurse (RN) PRN documents and reassesses any significant changes in the patient's condition in compliance with facility policy. Valley Hospital Phoenix is seeking Registered Nurse (RN) PRN with a background in Behavioral Health to join our team of dedicated healthcare professionals.
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WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. Our Appeals Nurse will examine medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.
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medicare compliance health policy jobs Title: compliance specialist Company: Metroplus Health Plan
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