- Prysmian (Taunton, MA)
- …**Position Summary:** Reporting to the Director of Quality, the Regional Quality Manager is responsible for developing and executing the strategic quality vision ... facilities. This role ensures consistent implementation of quality systems, compliance with industry standards, and continuous improvement initiatives that drive… more
- Parexel (Boston, MA)
- **_Parexel FSP has an exciting opportunity for a Clinical Quality Operations Manager ! This is a remote role !_** **Position Purpose:** The Clinical Quality ... Operations Manager (CQOM), in collaboration with the Clinical Quality Operations...academic institutions). + Facilitate and oversee the responses to audit and inspection observations as appropriate. In addition, the… more
- Commonwealth Care Alliance (Boston, MA)
- …InterQual, CMS NCDS & LCDs) medical necessity guideline development. - Ability to lead audit readiness efforts and ensure compliance with CMS, NCQA and state ... facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing...has a key role in ensuring CCA meets CMS compliance standards in the area of service decisions and… more
- Rogers Corporation (Boston, MA)
- …tools (eg, Power BI, Tableau) and SQL is a plus. + Knowledge of compliance frameworks such as SOX and internal audit standards Additional Qualification Details: ... Manager Financial Systems Location: Chandler, AZ, US, 85224Remote,...ensure accurate and timely financial data for decision-making and compliance . **Essential Functions:** + Lead the design, implementation, and… more
- BXP (Boston, MA)
- Primary Purpose of Position: Manage, audit and analyze all financial matters related to assigned portfolio. Serve as the financial expert and primary facilitator of ... quarterly close process, including preparing supporting schedules and generating reports for audit binders. + Oversee client accounts to ensure they are billed… more
- Commonwealth Care Alliance (Boston, MA)
- …or screeners as needed, including relevant behavioral health screeners (PHQ-9, EASI, Audit , DAST). + Uses clinical judgment to escalate members with urgent needs ... to the Regional RN Supervisor and/or manager during or immediately following the visit. + Utilize...+ Maintains confidentiality of patient and employee information. + Compliance with the organization's policies and procedures. + Provide… more
- Cardinal Health (Boston, MA)
- …audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is expected of you and others at this ... rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles and techniques; CMS manuals;… more
- Datavant (Boston, MA)
- …effectiveness, regulatory compliance , and continuous process improvement across our audit operations. The QA Audit Manager provides day-to-day ... bold vision for healthcare. We are seeking a QA Audit Manager to lead Datavant's Quality Assurance...Oversee audits of request and fulfillment processes to ensure compliance with state and federal laws, as well as… more
- Indeed (Boston, MA)
- …lives of millions of people by connecting them with meaningful employment. The Internal Audit Manager will join Indeed's expanding Internal Audit team. ... from complex qualitative and quantitative datasets. + Familiarity with Audit Standards as well as compliance and control frameworks such as ISO 27001, SOC 1/2,… more
- Indeed (Boston, MA)
- …the lives of millions of people by connecting them with meaningful employment. The Internal Audit Manager will join Indeed's Internal Audit team. They will ... assessments. + Collaborate with internal and external partners to ensure coordinated audit coverage while staying current on accounting, compliance , and industry… more
- Confluent (Boston, MA)
- …training and guidance to control owners and key stakeholders. + Prepare IT SOX compliance reports for executive leadership and the Audit Committee. + Lead ... **About the Role:** We are seeking an experienced Senior Manager of SOX IT to lead and manage the...to lead and manage the company's IT Sarbanes-Oxley (SOX) compliance program, focusing on IT General Controls (ITGCs), IT… more
- Humana (Boston, MA)
- …clinical expertise and passion for accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation processes to ... relevant coding. + Identifies the root cause analysis of audit findings and submits recommendations for appropriate change management....the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- State of Massachusetts (Boston, MA)
- …to accommodate priority projects; * Assists the Audit Quality Assurance Manager in compiling quality/ compliance trends to identify training needs of the ... experienced auditor to evaluate and assess the quality and compliance of audit work performed in accordance...Audit Quality Assurance Specialist reports directly to the Audit Quality Assurance Manager . DUTIES AND RESPONSIBILITIES… more
- Datavant (Boston, MA)
- …addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, ... + Review disagreements on APC/DRG changes with the appropriate manager . + Prepare the final reports for the coding.... + Prepare the final reports for the coding audit and actively participates in the resolution of … more
- Elevance Health (Boston, MA)
- **JR167284 Behavioral Health Clinical Quality Audit Analyst, Sr** Responsible for maintaining crisis accreditation and developing, delivering and evaluating training ... policies and practices that align with accreditation standards to ensure accreditation compliance + Design and deliver training programs for all crisis teams that… more
- Microsoft Corporation (Boston, MA)
- …The Azure Trusted Platform team is seeking an experienced Senior Technical Program Manager - Compliance to support Azure's regulatory work. The Senior Technical ... Program Manager - Compliance will work with multiple...adherence across Azure. The role will also be supporting audit and examination engagements across multiple Microsoft Online Service's… more
- Coinbase (Boston, MA)
- …teams. * Develop and implement governance mechanisms, risk tracking tools, and compliance reporting processes. * Support audit readiness efforts, ensuring ... expected and fully supported. We're looking for a program manager to join our Strategy and Planning team. This...team. This team is responsible for governance, risk and compliance (GRC) within ESTO, data and analytics, continuous process… more
- Manulife (Boston, MA)
- The Compliance Manager is responsible for the execution and/or supervision of processes utilized to develop and update the organization's compliance policies ... Archer (previously known as Archer GRC), or similar governance, risk, and compliance management software + Demonstrated knowledge of audit methodologies, control… more
- Point32Health (Canton, MA)
- …some or a combination of roles in IT Security, cyber security, risk, compliance , audit , threat detection, data privacy, etc. + Understanding of cyber-security ... about who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Manager , Cyber & Information Security, will report into the Director, Cyber… more
- CVS Health (Boston, MA)
- …all with heart, each and every day. **Position Summary** The Specialty Pharmacy Off-Phone Audit Manager leads the internal audit function for CVS Specialty's ... off-phone and administrative operations. The manager will provide strategic leadership to a team of...using Verint live monitoring and screen capture tools, ensuring compliance with regulatory standards, internal protocols, and driving continuous… more
