- Dignity Health (Phoenix, AZ)
- …of appropriate corrective or disciplinary actions, if necessary. To that end, the Medicare Compliance Officer should have the flexibility to design ... that the MEDIC makes of the Medicare plan. Similarly, the Medicare Compliance Officer should collaborate with other health plans, state Medicaid… more
- Centene Corporation (Austin, TX)
- …member of Medicare & Compliance Senior Leadership, chairs Centene's Medicare Compliance Committee, attends meetings of the Enterprise Compliance ... organization with a commitment to service leadership. + Leading the Medicare Compliance team with a collaborative mindset and demonstrated commitment to… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …the collection, preparation, review, and submission of information, data, and documents to Medicare Advantage Compliance Officer or designee, regulators, or ... perform pre-employment substance abuse and nicotine testing._ **Title:** _Senior Medicare Compliance Analyst_ **Location:** _OH-Brooklyn_ **Requisition ID:**… more
- Point32Health (Canton, MA)
- … with healthcare program requirements. + **Collaboration:** At the direction of the Medicare Compliance Officer , collaborate with leadership and department ... Senior Manager will report to the Government Programs Compliance Officer . This position includes supporting the...state laws and regulations related to the Government Programs Compliance Programs for Medicare and Duals products.… more
- CVS Health (Southfield, MI)
- …individual will work independently, as well as collaboratively, with internal senior level Medicare compliance and business teams that operate MMP and DSNP ... Conduct * Maintains current working knowledge and expertise in Medicare Compliance , Medicaid Compliance and...actions to mitigate organizational risk * Serve as plan compliance officer and act as the primary… more
- USAA (Tampa, FL)
- …Claims Operations. This employee will report to the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a ... work with our third-party supplier and key business partners supporting our Medicare Supplement Claims. As business process owner, the employee will lead planning… more
- University of Michigan (Ann Arbor, MI)
- …applicable MM policies and MM?s Code of Conduct. Reporting to the Chief Compliance Officer the Senior Director is responsible for on-going risk assessments, ... States Department of Justice (DOJ) and the Centers for Medicare and Medicaid Services (CMS). This position will provide...risk-based compliance reporting to ensure the Chief Compliance Officer , Executive Leadership and compliance… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Compliance Officer to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care ... working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier...more about MDwise, Inc. at https://www.mdwise.org/ **Position Summary:** The Compliance Officer acts as a primary liaison… more
- Somatus (Mclean, VA)
- …well-being + Community engagement opportunities + And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of ... to optimize the programs' clinical benefit, financial accuracy and ensure program compliance with governing bodies' regulations, including the Center for Medicare… more
- Stanford Health Care (Palo Alto, CA)
- …to the President and CEO of both SHC and SMCH, the SHC/SMCH Chief Compliance Officer oversees a comprehensive hospital and clinical compliance program ... that includes but is not limited to ensuring compliance with Medicare and Medicaid billing regulations, fraud and abuse laws, applicable state laws and laws for… more