- Kentucky Community and Technical College System (Versailles, KY)
- …functional knowledge and technical expertise with an emphasis on federal compliance support. Responsibilities include the day-to-day operations of financial aid ... audits, college financial plan and net price calculator, verification processes, course auditor mismatches, etc. for the entire KCTCS system of colleges, which… more
- WM (Frankfort, KY)
- …Growth. People-First Culture (https://www.wm.com/us/en/inside-wm/who-we-are) . **About the Senior Compliance Auditor Role** Under minimal supervision, plans ... and conducts compliance audits of various entities to determine compliance with Federal and State regulatory requirements, programs and internal policies with a… more
- Humana (Frankfort, KY)
- …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance… more
- Humana (Frankfort, KY)
- …a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Prime Therapeutics (Frankfort, KY)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims Auditor is responsible ... auditing of claims, educating Prime's network pharmacies and driving contract compliance , and supporting downstream claim corrections and eliminate potential waste.… more
- Highmark Health (Frankfort, KY)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- CDR Maguire (Frankfort, KY)
- The Finance Auditor plays a key role in the financial oversight of non-congregate sheltering operations by conducting final audits of hotel invoice packets. This ... submitted by NCS Hotel Auditors, verifying accuracy, completeness, and compliance with internal protocols and applicable regulations. + Cross-check documentation… more
- Humana (Frankfort, KY)
- …the following: Inpatient medical coding, analytics, health record security and privacy, HIPAA compliance , and data governance. + Hold at least one of the following ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- Molina Healthcare (Lexington, KY)
- …Develop and implement processes and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and ... guidelines of risk adjustment data * Understand and oversee RAPS and EDPS data transmission and assist in identification of issues that impact data integrity and accuracy * Identify opportunities for data mining to ensure data gaps are minimized * Apply best… more
- Highmark Health (Frankfort, KY)
- …This job is responsible for planning, designing, implementing, and maintaining the Compliance Program and its related policies to ensure the business acts within ... responsible for the administration, interpretation, and enforcement of the Compliance Program including auditing/monitoring operational processes, conducting or overseeing… more
- Amentum (Frankfort, KY)
- **Amentum seeks an ISO 27001 Compliance Engineer** Amentum is a global leader in advanced engineering and innovative technology solutions, trusted by the United ... 80 countries across all 7 continents. The **ISO 27001 Compliance Engineer** is a remote-telework position that supports our...such as ISO 27001 Lead Implementer, ISO 27001 Lead Auditor , CISA, or CISSP are highly preferred.** Amentum is… more
- Molina Healthcare (Lexington, KY)
- …and leads the oversight of national and state delegated activities, ensuring compliance with State, Federal, NCQA and Molina delegation standards and requirements. ... Provides delegation oversight compliance leadership and expertise and responsible for the execution of the Delegation Oversight Program in full support of and… more
- Parker Hannifin Corporation (Danville, KY)
- …improvement and management reports and maintains a quality system in compliance with applicable standards and regulations. * Quality representative for AS9100 ... compliance . * Implement a quality culture of root cause...preferably in Quality Assurance or Engineering Certifications: Certified Lead Auditor or Certified Quality Engineer or Certified Quality Manager… more
- DoorDash (Lexington, KY)
- …safety: Maintain a safe working environment by performing all duties in compliance with DashMart safety and security standards. Complete all cleaning and warehouse ... The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:...match, paid time off and paid sick leave in compliance with applicable laws (eg Colorado Healthy Families and… more
- Prime Therapeutics (Frankfort, KY)
- …Systems Auditor ) + Experience working in environment with regulatory compliance frameworks and their requirements (PCI, HITRUST, SOC 2 audits, MARS-E etc.) ... the system, services, and requirement scope; assist the Governance Risk and Compliance team in crafting responses as required + Review vulnerability and patching… more
- DoorDash (Lexington, KY)
- …29, 2024. The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144) ... benefits, commuter benefits match, paid time off and paid sick leave in compliance with applicable laws (eg Colorado Healthy Families and Workplaces Act). DoorDash… more
