- Prime Therapeutics (Columbus, OH)
- …drives every decision we make. **Job Posting Title** Senior Functional Business Consultant / Regulatory Compliance exp required- REMOTE **Job Description** ... The Functional Business Consultant serves as a business system or business process... regulatory laws, guidance, and regulations + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Compensation Systems Consultant ? At HCA Healthcare , you come first. HCA Healthcare has committed ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...difference. We are looking for a dedicated Compensation Systems Consultant like you to be a part of our… more
- Wipfli LLP (Spokane, WA)
- …gain hands-on experience in Medicaid/Medicare policy, financial and clinical data analysis, and regulatory compliance . As they grow in the role, they will take ... a career-defining opportunity. Responsibilities Job Summary Under the guidance of a Senior Consultant or Manager, the FQHC Strategy Consultant I will contribute… more
- Wells Fargo (Charlotte, NC)
- …of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance ), which includes effectively following and adhering to ... **Wells Fargo is seeking a** **Senior Lead Benefits Strategy Consultant ** **to join the** **Employee Benefits & Recognition team...applicable.** **In this role, you will:** + Lead complex healthcare initiatives designed to meet the needs of the… more
- Evolent (Columbus, OH)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides a unique ... Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers,...for internal teams and external partners. + **Reporting & Compliance ** : Support ad hoc and regulatory … more
- CREO (Durham, NC)
- …mitigate risks. + Develop Policies, Procedures, Forms, and Templates to drive regulatory compliance . + Develop formal systems validation documentation. + Assist ... JOB DESCRIPTION OVERVIEW As a Consultant , IT Compliance and Quality, you...play a pivotal role in helping clients navigate complex regulatory landscapes and ensure compliance within their… more
- Cognizant (Columbus, OH)
- …rejections, often related to claims data or eligibility + Adhering to compliance standards and regulatory requirements for encounter data submissions. + ... we're improving everyday life. **Job Summary** : The Claims Encounters Consultant is responsible for providing customers with application domain expertise related… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Senior Corporate Compliance Consultant performs ongoing activities related to the development, implementation, maintenance of, and adherence ... growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. **BENEFITS** Our benefits are designed… more
- Wells Fargo (Wilmington, DE)
- …of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance ), which includes effectively following and adhering to ... **About this role:** **Wells Fargo is seeking a** **Marketing Consultant to lead Credit Card Marketing Compliance and Controls Operations for the Affiliate… more
- Signature Healthcare (Winchester, KY)
- …that clinical systems and standards of care are in place to achieve clinical, regulatory , and reimbursement compliance . + Provide oversight and guidance to staff ... Signature HealthCARE is a family-based healthcare company...Places to Work!" Overview The ideal Signature Clinical Care Consultant Candidate would have working knowledge of Medicare, Medicaid… more
- Wells Fargo (Minneapolis, MN)
- …of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance ), which includes effectively following and adhering to ... **About this role:** Wells Fargo is seeking a **Benefits Consultant ** to join the **Employee Benefits & Recognition team within Total Rewards** . This individual… more
- US Tech Solutions (Hialeah, FL)
- …of Care: + Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and ... **Position Summary:** + Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare … more
- US Tech Solutions (Tallahassee, FL)
- …of Care: + Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and ... **Job Summary:** + Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs… more
- US Tech Solutions (Chesapeake, VA)
- …focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and company policies and procedures. + Utilizes ... **Position Summary:** Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare … more
- US Bank (Irvine, CA)
- …spreadsheets, databases, and presentations - Professional certifications preferred - Certified Regulatory Compliance Manager (CRCM) The role offers a ... (SLOD) partners to identify, measure, monitor and control risk. CBB Risk's Compliance team provides risk management support and guidance for compliance … more
- US Tech Solutions (May, OK)
- …to obtain additional information. + Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. ... to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. Independently… more
- US Tech Solutions (Atchison, KS)
- …focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and company policies and procedures. + Utilizes ... tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies,… more
- Elderwood (Lake Placid, NY)
- …leader who fosters collaboration and drives clinical excellence + Deep understanding of regulatory compliance and best practices in LTC Why Elderwood? + Work ... at $150,000 / Year Overview Join Our Team as a Regional Nurse Consultant (RNC)! This posiiton is responsible for our Skilled Nursing Facilities in Ticonderoga,… more
- BrightSpring Health Services (Tallahassee, FL)
- …in clinical excellence, meeting the challenges of higher acuity, greater regulatory scrutiny, and staffing constraints head-on. PharMerica's consultant ... prescriber engagement, and optimize medication therapy for our residents. Our Consultant Pharmacists Are: + Medication Experts: Making a significant impact through… more
- Belcan (Novi, MI)
- …Job Type: Full Time Duration: 3-6 months Position Overview The Medical Software Consultant is responsible for advising and guiding healthcare organizations on ... Medical Software Consultant Job Number: 357153 Category: -Corporate Description: Job...designing and implementing software solutions for medical devices, ensuring compliance with regulatory standards such as 62304,… more
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