- The Cigna Group (Nashville, TN)
- …and across the business units. + Reports to the Part C Legal Compliance Manager;*Monitors transactions and business processes associated with reconciling ... Responsible for Part C audit activities for the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates… more
- The Cigna Group (Nashville, TN)
- **What You'll Do** The Medicare National Contracting Advisor position is an integral member of the National Development and Network Solutions team, reporting ... directly to the Medicare National Partnerships Director. This role is a key...including but not limited to: Claims, Medical Management, Credentialing, Legal , Medical Economics, Compliance , Sales and Marketing,… more
- The Cigna Group (Bloomfield, CT)
- …including but not limited to, Claims Operations, Medical Management. Credentialing, Legal , Medical Economics, Compliance , Sales and Marketing and Service. ... The **Provider Contracting Senior Advisor ** serves as an integral member of the...value-based reimbursements with hospitals and other providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large… more
- The Cigna Group (Bloomfield, CT)
- …opportunities, and implementing initiatives to drive improved rating performance + Medicare Compliance experience preferred + Project Planning experience ... metrics to support improved execution and performance, collaborate with vendors and legal and compliance teams to drive execution. **Role Components** +… more
- The Cigna Group (Bloomfield, CT)
- …Medicare Advantage position** WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor ** is a ... role operates at a strategic level engaging **directly with Senior Leadership from Legal , Compliance , Network, Product, Clinical and Strategic Sourcing; and is**… more
- Robert Half Legal (Rancho Cucamonga, CA)
- …will be joining a large legal team and become a Managed Care expert ( MediCare ). You will advise on regulatory and compliance issues, and a critical HIPAA ... Healthcare Advisor : Attend meetings with different business units, analyze legal implications, and recommend effective courses of action. The company handles … more
- HealthEdge Software Inc (Lansing, MI)
- …impacts relevant to our customers and our software. + Partner with enterprise legal & compliance team to identify and document clinical regulations relevant ... adopt digital transformation and innovation + 7+ years' experience with healthcare compliance /regulations - Medicare , Medicaid, federal and state requirements +… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- … legal support and solutions as a market access attorney and the primary legal advisor for market access and contract and pricing departments supporting US ... on key policies, procedures, practices and requirements for healthcare and related legal compliance and educate clients and partners about current enforcement… more
- Stanford Health Care (Palo Alto, CA)
- …work with the unique and supportive UM team. You can put your knowledge about Medicare , Medi-Cal, Medicaid, and bedside RN experience to great use in this UM role. ... care. Working in collaboration with Physician Advisors, Financial Services, Compliance , Denials Management, Patient Access, Clinical Documentation Integrity, Billing,… more
- Corewell Health (Dearborn, MI)
- …information, educating and providing information as necessary. Collects and documents Medicare Questionnaire, issue Medicare Inpatient Letter & Medicare ... by Government mandates. Scan appropriate documents. Manage all responsibilities within Compliance guidelines as outlined in the Hospital and Department Compliance… more