- Rolls Royce (Indianapolis, IN)
- …the broader team of technical expertise by senior capability leadership. May be a specialist with depth and/or breadth of knowledge in their own discipline or field ... or may be a specialist in Rolls-Royce's products and solutions and how they...Solving: Leads the resolution of new and emerging technical, compliance and business problems using analytical processes and professional… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring ... healthcare people throughout Los Angeles and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care … more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Managed Care Specialist Job Summary Handles credentialing and enrollment processes for healthcare providers and facilities. This role is critical to the ... of Western Kentucky Healthcare System (WKHS) and the Jennie Stuart Health Managed Care Department, supporting accurate provider setup and alignment with… more
- MSC Industrial Supply Co. (Canton, OH)
- …**Work Location :** Canton, OH **BRIEF POSITION SUMMARY:** The Vendor Managed Inventory (VMI) Specialist ensures customer satisfaction through solutions ... MSC customer solutions and sales associates through execution of CARE program. + CARE is defined as...incremental solution growth. + Lead focus of 100% safety compliance for VMIS team + Repair and maintain vending… more
- MSC Industrial Supply Co. (Savannah, GA)
- …**Work Location** : Savannah, GA **BRIEF POSITION SUMMARY** The Vendor Managed Inventory (VMI) Specialist ensures customer satisfaction through solutions ... MSC customer solutions and sales associates through execution of CARE program. CARE is defined as Clean, Arrange,...incremental solution growth. + Lead focus of 100% safety compliance for VMIS team + Repair and maintain vending… more
- MSC Industrial Supply Co. (Binghamton, NY)
- …**Work Location : Binghamton, NY-** - **BRIEF POSITION SUMMARY:** The Vendor Managed Inventory (VMI) Specialist ensures customer satisfaction through solutions ... collaborate with MSC customer solutions and sales associates through the CARE program (Clean, Arrange, Relationships, Exceed Expectations). + Maintain 6S appearance… more
- Access Dubuque (Dubuque, IA)
- Healthcare Compliance Specialist **Hillcrest Family Services** 1 Positions ID: 554109068 Posted On 09/24/2025 Refreshed On 11/25/2025 **Job Overview** ... **Responsibilities** The ** Compliance Specialist ** is responsible for ensuring that... activities, ensuring confidentiality. + Ensure all documentation is managed in accordance with regulatory requirements. + Other duties… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II, D-SNP Team (12...care professionals in a hospital, medical group or managed care setting, such as a health insurance ... net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills...systems. Knowledge of and ability to comply with HIPAA compliance . Ability to interview, assess and coordinate care… more
- Ventura County (Ventura, CA)
- …the compliance office. Experienced in leading and training staff on Managed Care , Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure ... billing and supervises or conducts training on the specific areas of Managed Care /Medicaid/Medi-Cal/Medicare and/or Commercial Insurance; + Works with the… more
- Centene Corporation (Jefferson City, MO)
- …regulations preferred + 1+ years experience in State Medicaid or Federal managed care compliance preferred **Licenses/Certifications:** Certified in ... Complies with all policies and standards. **Education/Experience:** + Bachelor's Degree Managed Care /Health Insurance or related field; or equivalent experience… more
- Molina Healthcare (Rockford, IL)
- …in healthcare with minimum 2 years' experience in health plan quality improvement, managed care or equivalent experience. + Demonstrated solid business writing ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality… more
- Molina Healthcare (Savannah, GA)
- …experience in healthcare with 1 year experience in health plan quality improvement, managed care , or equivalent experience. + Demonstrated solid business writing ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/… more
- Endo International (Webster Groves, MO)
- …everyone we serve live their best life. **Job Description Summary** The Specialist , Controlled Substances Compliance - Analyst position reviews direct customer ... with customers as necessary; audits internal processes to ensure compliance with company policies and procedures; facilitates activities of...need to act on it; remains aware and takes care of details that are easy to overlook or… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Bachelor's Degree Experience Required: At least 2 years of experience in Managed Care with specific experience in resolving member and provider ... Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department:...apply regulations. At least 5 years of experience in Managed Care working with Medicare, Medi-Cal and… more
- Intermountain Health (Salem, OR)
- …cycle insurance follow up or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate's Degree, preferred - ... **Job Description:** The Reimbursement Specialist is responsible for performing a variety of...hourly rate dependent upon experience. $24.00 - $36.54 We care about your well-being - mind, body, and spirit… more
- Centene Corporation (Olympia, WA)
- …experience with Microsoft Office applications. Knowledge of business operations related to managed care preferred. Pay Range: $68,700.00 - $123,700.00 per year ... 8:00 am - 5:00 pm Pacific Time zone. **Position Purpose:** Ensure compliance with contractual requirements and federal and state government reporting and… more
- Oracle (Nashville, TN)
- …an experienced IT audit professional to play a key role on Oracle Cloud's compliance team. We are seeking candidates who thrive in a dynamic, fast-paced environment ... and are comfortable managing regulatory compliance . The ideal candidate will be expected to lead...specifications. + Experience in Information Technology, Cloud services, or managed hosting services is preferred. + Proven ability to… more
- Valor Health (Bowling Green, KY)
- Clinical Pharmacist Specialist - Primary Care Bowling Green,...patients utilizing rules set forth by the VA for co- managed care . + Completes any and all ... Healthcare is seeking a dynamic and passionate Clinical Pharmacist Specialist (CPS) to provide care at the...Office of Inspector General (OIG), Joint Commission(JC), Environment of Care (EOC) oversight, lab compliance and other… more
- New York State Civil Service (Albany, NY)
- …NY Zip Code 12229 Duties Description The Office of Financial Management, Strategic Financial & Managed Care Group is recruiting to fill a Mental Health Program ... Agency Mental Health, Office of Title Mental Health Program Specialist 1/Mental Health Program Specialist Trainee, Central...the Bureaus within the Division of Strategic Finance and Managed Care in a broad range of… more
- Guidehouse (San Antonio, TX)
- …the ongoing understanding of client and company priorities and expectations + Ensure specialist and project compliance as well as adherence to company/client ... standards and communicate issues of non- compliance to Operations Manager + Monitor specialist ...Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term & Long-Term Disability… more
