- HCA Healthcare (Nashville, TN)
- …and personal growth, we encourage you to apply for our Compliance Process Reviewer opening. We promptly review all applications. Highly qualified ... **Introduction** Do you have the career opportunities as a Compliance Process Reviewer you want...Internal Audit and other Corporate departments to ensure that review responsibilities do not overlap. + Maintains current working… more
- CAI (Nashville, TN)
- …Background: Aerospace, defense, or manufacturing sector experience + Experience leading compliance initiatives or process improvement projects + Prior experience ... Compliance Auditor **Req number:** R6613 **Employment type:** Full...Agreements, ATF permits, exceptions, exemptions) + Application Management: Draft, review , and manage export/import license applications, including ATF Form… more
- HCA Healthcare (Brentwood, TN)
- …departments and stakeholders, and Ethics & Compliance + Facilitates COI process for researchers, including review of disclosures and facilitating mitigation ... you want to join an organization that invests in you as a Director Research Compliance ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300… more
- Bausch + Lomb (Nashville, TN)
- …preferred. + Previous PRC lead experience required with demonstrated understanding of Ad Promo review and compliance process . + Working knowledge of Veeva ... and managing the Promotional Review Committee (PRC) process for the business unit in compliance ...review . **Responsibilities** + Lead and facilitate the PRC process , helping all stakeholders to maintain compliance … more
- Highmark Health (Nashville, TN)
- …Experience in one or more of the following: healthcare operations, compliance , auditing, investigations, regulatory accreditation, process improvement, project ... :** **JOB SUMMARY** This job partners with business units to ensure compliance to rules, regulations, policies, and procedures of governmental, contractual, and/or… more
- HCA Healthcare (Nashville, TN)
- …data collection and measurement tools with respect to oversight of the Dispute Resolution process and SSC Payment Compliance teams + Assists with preparation of ... colleagues invested over 156,000 hours volunteering in our communities. As a Payment Compliance Analyst with Parallon you can be a part of an organization that… more
- Datavant (Nashville, TN)
- …function. This role is pivotal in ensuring operational effectiveness, regulatory compliance , and continuous process improvement across our audit operations. ... Will Do:** + Oversee audits of request and fulfillment processes to ensure compliance with state and federal laws, as well as Standard Operating Procedures (SOPs).… more
- Coinbase (Nashville, TN)
- …compliance with internal standards, publisher policies, and legal requirements. * Partner with compliance teams to review and approve ads before they go live. ... conversion tracking. * Experience reviewing creative against ad platform and legal/ compliance standards. * Process -driven, meticulous attention to detail, and… more
- PSI Services (Nashville, TN)
- …(eg, planning, writing, submission) when needed to support bandwidth across the team. ** Process & Compliance Oversight** * Utilize proposal tools and automation ... The Bid Manager is the engine behind the proposal process - driving execution, maintaining momentum, and ensuring every...AI content tools). * Maintain version control and brand compliance for deliverables. * Ensure RFP requirements and … more
- HCA Healthcare (Nashville, TN)
- …and clinical performance. This position is responsible to manage the quality review process , to include the Ongoing Professional Practice Evaluation (OPPE) ... plan and coordinate a consistent, centralized medical staff quality review process throughout Central West Texas Division...problems that must be identified and resolved immediately so process is not delayed. . Monitor compliance … more
- Kelly Services (Murfreesboro, TN)
- …America, Inc. in Lemon Law and breach of warranty cases. + ** Compliance Management:** Process voluntary and mandated repurchases/replacements within the required ... Law and Breach of Warranty issues. + **Issue Resolution:** Review and resolve cases while adhering to lawful guidelines...the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource… more
- BrightSpring Health Services (Madison, TN)
- …any other company compliance requirements + Train supervisors and monitor compliance with employee evaluation process and timelines + Provide objective ... they are completed within timelines + Support the onboarding process and hiring process , including (but not...forms and submit to Human Resources Manager for final review . Participate in corrective action meetings, as needed +… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Part-Time Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital ... services to ensure compliance with utilization management policies. This role conducts admission...providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital utilization review… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals ... authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with… more
- ISC2 (Nashville, TN)
- …the highest quality through Subject Matter Expert preparation, workshop participation, form review , process documentation and procedural compliance .This role ... our successes. Learn more. **Position Summary** The Exam Content Process Manager is primarily responsible for supporting all aspects...form development activities, to exam delivery, analysis and item review as well as being the liaison between the… more
- CenterWell (Nashville, TN)
- …handling of Mergers & Acquisitions: + Perform Problem list cleanup (as outlined by compliance ) + Conduct PCO Process training including but not limited to ... post-visit reviews. (Frequency and sampling methodology to be determined) + Review the encounter for potential missed opportunities. + Address nonbillable services… more
- ASM Research, An Accenture Federal Services Company (Nashville, TN)
- …case analysts. The QA Specialist reviews cases, interactions and evaluates them for compliance with standardized process requirements in both English and Spanish ... cases, emails, and recorded telephonic interactions and evaluates them for compliance with standardized process requirements. Requirements may include soft… more
- HCA Healthcare (Brentwood, TN)
- …you want to join an organization that invests in you as a Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Coding Quality Review Educator like you to be a part of...Quality Workplan and will ensure all education efforts promote compliance and awareness of the plan. Additionally, this individual… more
- Humana (Nashville, TN)
- …put health first** The Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical record ... compliant and accurate to support optimal reimbursement. The Manager, Nurse Audit/ Review works within specific guidelines and procedures; applies advanced technical… more
- HCA Healthcare (Nashville, TN)
- …join an organization that invests in you as a Senior Manager Clinical Compliance and Regulatory Accreditation? At HCA Healthcare, you come first. HCA Healthcare has ... We are looking for a dedicated Senior Manager Clinical Compliance and Regulatory Accreditation like you to be a...and client management. + Communicates the objectives of each review and planned other services to the client engagement… more