- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Compliance and Investigations Manager ** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ... eligible for telework._** **_*Approximately, 10% travel._** The Medicaid Compliance and Investigations Manager is responsible for providing oversight of … more
- Project Renewal, Inc. (New York, NY)
- Title: Senior Manager , Compliance Program: Legal, Varick Headquarters Salary Range: $90,000 - $100,000 per year Overall Responsibilities: The Senior Manager , ... in healthcare and related human services. The Senior Manager , Compliance reports to the Director of...state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid /Medicare, Part 2). + Ensure the organization's compliance… more
- Medical Mutual of Ohio (OH)
- …are properly created, implemented, and monitored. + Conducts and/or oversees Medicare compliance reviews and investigations . + Facilitates Medicare Compliance ... leading the implementation and day-to-day management of Medical Mutual's Medicare Compliance Program, which supports both Medicare Advantage and Medicare Supplement… more
- Cardinal Health (San Juan, PR)
- …adherence to policies, educates and trains employees across the organization, and conducts investigations to resolve ethics and compliance issues. Ethics & ... of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is… more
- Elevance Health (Chicago, IL)
- ** Compliance Manager ** **Location:** his role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... for employment, unless an accommodation is granted as required by law. The ** Compliance Manager ** is responsible for managing foundational and strategic … more
- Elevance Health (Columbus, OH)
- ** Compliance Manager ** **Location:** This role requires associates to be in-office 1 - 2 days per week at one of our four Ohio offices (Cincinnati, Columbus, ... for employment, unless an accommodation is granted as required by law. The ** Compliance Manager ** is responsible for managing foundational and strategic … more
- MyFlorida (Fort Lauderdale, FL)
- …Enforcement Investigator II performs work which may include performing all aspects of Medicaid fraud investigations . This work includes but is not limited to, ... civil or criminal judicial proceedings. 65% Conducts routine and complex investigations of possible Medicaid fraud and/or patient abuse, including… more
- Humana (Montpelier, VT)
- …a part of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of ... approach, resources, schedules and goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law enforcement… more
- MyFlorida (Quincy, FL)
- PUBLIC HEALTH SERVICES MANAGER B-SES - 64028011 Date: Oct 3, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 861353 Agency: Department of Health Working Title: PUBLIC HEALTH SERVICES MANAGER B-SES - 64028011 Pay Plan: SES Position Number: 64028011 Salary: $45,060.11… more
- ACHIEVE (Broome County, NY)
- Residence Manager - Broome County Broome County, NY (http://maps.google.com/maps?q=Binghamton+NY+USA+13905) Apply Description Duties & Responsibilities:The Program ... Manager is responsible for overall functioning and oversight of...and administrative reviews of Habilitation Plans, monthly notes and Medicaid billing to ensure that the plans meet agency… more
- The County of Los Angeles (Los Angeles, CA)
- …where necessary. + Formulates policies and procedures concerning administration, ensuring compliance with Federal and State Medicare and Medicaid regulations ... MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL… more
- Covenant Health Inc. (Lenoir City, TN)
- Overview Senior Risk Manager Full Time,80 Hours Per Pay Period, Day Shifts Fort Loudoun Medical Center is equipped with a team of more than 200 doctors in more than ... care to every patient, every time. Position Summary: The senior risk manager is responsible for the facility's risk management activities, which include, but… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Level II (in addition to Level I Accountabilities) + Performs more complex investigations with less direct supervision. Performs compliance and/or governance on ... to Level II Accountabilities) + Manages the highest level of complex investigations , compliance and regulatory issues and exercises decision-making in project… more
- BrightSpring Health Services (San Antonio, TX)
- …and compliance to service site/company policy to maintain licensure, Medicaid , or other funding + Monitors staffing schedules, overtime, staff vacancy rates ... life we encourage you to apply today! Responsibilities + The Day Services Manager is responsible for the operation of day services, including personnel, operational… more
- AdventHealth (Wesley Chapel, FL)
- …prevention of patient care-related grievances per established patient grievance protocol in compliance with the Centers for Medicare and Medicaid Services (CMS). ... west and central Pasco. **The role you'll contribute:** As the RN Clinical Risk Manager , operating under the direction of the Director, assists in the planning and… more
- University of Washington (Seattle, WA)
- …Counseling Services Team (IECS)** has an outstanding opportunity for a **Financial Counselor Manager ** . **WORK SCHEDULE** + 100% FTE (40 hours per week) + Mondays ... training and development initiatives. + Enforce productivity, quality, and compliance standards; develop and implement departmental procedures and improvements. +… more
- Johns Hopkins University (Baltimore, MD)
- **General Summary** We are seeking an **_Internal Audit Manager ,_** who demonstrates subject matter expertise in operational internal auditing and the healthcare ... audit tools and techniques. + Conduct specialized audits, projects or investigations requested by Institutional leadership. + Represent department on assigned… more
- Centene Corporation (Indianapolis, IN)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Manage compliance with all Federal and State Laws and Regulations related to ... federal requirements and monitoring trends and schemes. + Dedicated to our Indiana Medicaid product lines. + Safeguard against the potential for fraud, waste and… more
- Genesis Healthcare (CO)
- …MDS Coordinators to meet those goals. *Provide guidance, oversight, and direction for compliance of auditing activities and investigations related to MDS and ... professional license (ie Physical Therapist) *Must have Medicare and State-specific Medicaid experience (as applicable). *Must be willing to travel as this… more
- SSM Health (Fond Du Lac, WI)
- …with leaders to develop, implement and monitor action plan for any identified non- compliance . + Conducts investigations and audits to identify areas of risk, ... Agnes Hospital **Worker Type:** Regular **Job Summary:** Coordinates regulatory compliance activities. Works collaboratively with leaders, clinicians and other staff… more