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University Of Miami Work Values
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Daily Duties at University Of Miami:
Develop presentations, and disseminated information in oral and written form with all level of management and regulatory agencies. Manage operational compliance including bid filing and other required CMS reporting/filings related to Medicare Advantage products and operations. Provide guidance regarding adherence to all product, network, sales and other operational compliance processes and CMS regulatory requirements. Ensured that healthcare professionals as well as healthcare facilities were compliant with rules and regulation required by Medicare/Medicaid, Federal False Claims Act, Stark, HIPAA, Anti-kickback & Fraud and Abuse and other laws imposed by the Food Drug Administration (FDA). Review Managed Care Plans to identify which providers are on the Exclusion list from participating in Federal and State Health Care Programs. Identifying in networking providers and collected reimbursement from out of networking providers who billed and submitted claims performed on eligible members within the Managed Care Plan. Review business arrangement contracts to ensure that the terms and conditions are bona fide. Investigate potential areas of compliance vulnerability and risk; develops and implement corrective action plans for resolution of problematic issues, and provides corrective action plans and general guidance in regards to avoiding or dealing with similar situations in the future.
What they like about University Of Miami:
Organizations with strong, centralized leadership are particularly attractive to you. You require a work environment with leadership that aggressively seeks to expand and grow the business and does so in a visible and decisive manner. In general you prefer to work in an environment in which there is a strong link between leadership, its actions, and a strong set of company-wide values.
Tags
Fraud, Medicare, Coding, Billing, Health Insurance Portability And Accountability Act, Licensing, Training, Compensation, Medical, Compliance, management, manager
Information about University Of Miami
Company Rank: Not Available
Average length of employment : 2 years
Average salary of employees: $70,000
These are some of the questions we asked our climbers about their experiences with University Of Miami:
| 05| | ||
| Were your performance expectations clearly communicated? | 0.0 |
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| Were you recognized for meeting or exceeding expectations? | 0.0 |
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| Did you feel like your personal contribution was important? | 0.0 |
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| Was your career path clearly outlined and discussed? | 0.0 |
| 03| | ||
| I would recommend this as a place of employment. | 0.0 | |
| I believe in the purpose of this organization. | 0.0 | |
| I would work for this organization again. | 0.0 | |
| I feel employees are fairly compensated. | 0.0 |
Climbers who worked at University Of Miami had these interests:
| Magazines | |
|---|---|
HCCA Academy Compliance |
It discusses new trends in compliance as it pertains to healthcare. |
| Websites | |
| LinkedIn Account https://www.linkedin.com/in/gabriel-cruz-m-h-a-53022782/?midToken=AQFWwrZ31GxK9g&trk=eml-email_pymk_01-header-78-profile&trkEmail=eml-email_pymk_01-header-78-profile-null-4ujtx0~j8xzyxj6~ms-null-neptune%2Fprofile~vanity%2Eview&lipi=urn%3Ali%3Apage%3Aemail |
Briefly discusses my experience in the healthcare industry. |
