to coordinate significant hands on work with providers to ensure compliance with CMS driven rules for HCBS. This will be heavily...
Conduct oversight and monitoring of HRA program CMS compliance standards Be responsible to maintain all requirements for the... annual data validation audit response file Maintain data integrity in the HRA DataMart ensuring all CMS and Stars...
Conduct oversight and monitoring of HRA program CMS compliance standards Be responsible to maintain all requirements for the... annual data validation audit response file Maintain data integrity in the HRA DataMart ensuring all CMS and Stars...
(CMS) regulations Responsible for ensuring encounter is documented appropriately to support the diagnosis at that visit...
(CMS) regulations Responsible for ensuring encounter is documented appropriately to support the diagnosis at that visit...
in healthcare (e.g., CMS, HIPAA) Familiarity with Learning Management Systems (LMS) and e-learning authoring tools Clinical...
, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Bilingual in English/Spanish...
of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems...
with Optum and Center for Medicare and Medicaid Services (CMS) regulations Facilitate agreement and implementation of the member...
consistent with Optum and Center for Medicare and Medicaid Services (CMS) regulations Facilitate agreement and implementation...