- Houston Methodist (Katy, TX)
- …Fry Rd. Katy, TX 77450** **. (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with ... Medicare compliance experience is preferred** **Note:...Center for Medicare /Medicaid Services (CMS), other applicable regulatory agencies, and/or Houston Methodist Internal Audit compliance… more
- Commonwealth Care Alliance (Boston, MA)
- … Compliance (CHC) preferred. + 5 or more years direct work experience in regulatory affairs and/or compliance in Medicare or Medicaid required + 5 ... **Why This Role is Important to Us:** Under direction of the Director of Medicare Compliance , the primary focus areas of this position include development and… more
- Aveanna (Houston, TX)
- …Category: Compliance Salary: $90,000 per year Position Details Position Overview The Regulatory Compliance and Coverage Specialist will report to the ... Regulatory Compliance and Quality Review. The Regulatory Compliance and Coverage Specialist ...RN + Thorough knowledge of the home care industry, Medicare and Medicaid coverage requirements, clinical and operations practices,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …transform healthcare and serve as a leader of positive change. The **Senior Regulatory Specialist ** is responsible for the oversight and management of clinical ... clinical trials. **Responsibilities** A day in the life of a **Senior Regulatory Specialist ** at **Hackensack Meridian** **_Health_** includes: + Assists with… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The ** Regulatory Specialist ** is responsible for ensuring compliance with Federal, State, and Local ... assigned clinical trials. **Responsibilities** A day in the life of a ** Regulatory Specialist ** at **Hackensack Meridian** **_Health_** includes: + Organizes and… more
- VHC Health (Arlington, VA)
- Clinical Operations Regulatory Specialist Job Description Purpose & Scope: The position of Clinical Operations Regulatory Specialist provides auditing ... position ensures that the training and auditing are in compliance with the department's standards, regulatory bodies,...Hospital, received a 5-star rating from the Centers for Medicare and Medicaid Services (CMS) and once again named… more
- Robert Half Accountemps (Monterey Park, CA)
- Description The Compliance Specialist is responsible for supporting all compliance functions at the Health Plan. Lead the company's efforts to meet ... regulatory and compliance requirements and collaborate with...Experience: . One (1) to three (3) years of Medicare Audit or Compliance experience. . Knowledge… more
- Robert Half Accountemps (Los Angeles, CA)
- Description A National Healthcare Company needs a Healthcare Compliance Specialist is responsible for supporting all compliance functions at the ... organizations. The Healthcare Compliance Specialist is responsible for the day-to-day administrative activities, coordination...preferred. . One (1) to three (3) years of Medicare Audit or Compliance experience. . Knowledge… more
- Mom's Meals (Ankeny, IA)
- Position SummaryThe Compliance Specialist II is responsible for supporting the Director of Compliance /Privacy Officer in implementing and executing the ... employees + Engage in ongoing education and professional development to increase compliance expertise, business acumen, and regulatory knowledge + Collaborate… more
- University of Washington (Seattle, WA)
- …patients in compliance with evolving regulatory requirements. The Billing Compliance & QC Specialist (payroll title: Program Operations Specialist ) ... Trials Office has an outstanding opportunity for a Billing Compliance & QC Specialist to join their...and discretion in the interpretation and application of the Medicare Clinical Trial Policy, and all relevant UW Medicine… more
- Molina Healthcare (Las Vegas, NV)
- …plan and requires experience within that space. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one ... and implementation of **NCQA accreditation surveys** and federal/state QI compliance activities. This position focuses on **Quality Compliance...surveys. + Has a strong focus on MCO Quality regulatory reporting. + Acts as a lead specialist… more
- Martin's Point Health Care (Portland, ME)
- …and education + 5+ years experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist ) or TRICARE (for USFHP ... to Work" since 2015. Position Summary Job Description Position Summary: The Appeals Specialist ( Medicare or US Family Health Plan) is responsible for ensuring… more
- Molina Healthcare (Las Vegas, NV)
- …and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality ... or more of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Acts as a lead specialist to provide project-,… more
- Molina Healthcare (Milwaukee, WI)
- …_you must reside in_ **_Wisconsin_** _for this position._ **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one ... of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Implements key quality strategies, which may include initiation… more
- Ventura County (Ventura, CA)
- …and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement ... Medical Billing Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4487403) Apply Medical Billing... and audit issues and work progressively with the compliance office to identify and resolve regulatory … more
- Option Care Health (Bannockburn, IL)
- …**Job Description Summary:** Assists with development, implementation and oversight of compliance and privacy program activities. Supports the execution of the ... Annual Compliance & Privacy Work Plan. Supports policy and procedure...with privacy rules and requirements as well as other regulatory and legal requirements. + Identifies potential areas of… more
- Marshfield Clinic (Marshfield, WI)
- … monitors, performs, and manages quality assurance processes including those supporting compliance to regulatory and accreditation standards. This role works ... closely with the Security Health Plan (SHP) compliance team in monitoring regulatory guidelines and...internal and external pharmacy auditing plans for commercial and Medicare lines of business to ensure regulatory … more
- Louisiana Department of State Civil Service (LA)
- …autonomy and decision making skills in addition to intense investigation skills to determine regulatory compliance . The ever changing world of regulatory ... and quality of services to determine the extent of compliance with the state licensure standards and Medicare...Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level… more
- Signature Healthcare (Louisville, KY)
- …HealthCARE! How you Will make a difference + Ensure that a company-wide regulatory compliance program is ongoing in accordance with company policies, standards ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...all facilities which includes teaching, training, and application of compliance skills necessary to enhance our resident care and… more
- LA Care Health Plan (Los Angeles, CA)
- …in a high quality and timely manner and ensuring compliance with all regulatory guidelines such as Medicaid (Medi-Cal), Medicare , and the Health Exchange, as ... Quality Management Nurse Specialist RN II Job Category: Clinical Department: Quality...process for potential quality of care and service issues, regulatory compliance with CMS, DMHC, DHCS, and… more