- Entergy (Hammond, LA)
- …+ Ensure alignment of project behaviors to contract requirements + Manage compliance to contract provisions and administer contract change orders in collaboration ... projects contracting and procurement **_Preferred:_** Certification from an industry accreditation organization such as CPSM, APICS, etc. Minimum experience required… more
- Cardinal Health (Bunkie, LA)
- …ensures that the pharmacy provides optimal services; meets all legal, accreditation , and certification requirements; and complies with all applicable policies, ... documents, payroll records, statistical surveys, and other required data. + Ensures compliance with health system policies and procedures that apply to pharmacy… more
- Datavant (Baton Rouge, LA)
- …on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third party reimbursement policies, regulations and ... accreditation guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by leadership. **What you will bring to the table:**… more
- Evolent (Baton Rouge, LA)
- …process and utilization management. + Working knowledge of regulatory and accreditation requirements. + Excellent verbal and written communication skills. **To ... may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final… more
- Ochsner Health (New Orleans, LA)
- …for medical safety, regulatory, and PI issues and participating in accreditation -related activities. + Leading the development of policies and procedures related ... capital expenses related to quality (eg, information systems). + Ensuring compliance with laws, government regulations, JCAHO requirements, and Ochsner policies. +… more
- Humana (Baton Rouge, LA)
- …Medicaid contracts and provides appropriate attestation and evidence for audits and accreditation . + Develops key performance indicators and plans to drive overall ... 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
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …departments including Case Management, Quality, and Provider Relations. + Maintain compliance with state, federal, and accreditation requirements (eg, CMS, ... NCQA, URAC). + Participate in audits, training, and quality improvement initiatives. **Required Qualifications** + Bachelor's degree in nursing, healthcare, or a related field OR master's degree in social work, counseling, or behavioral health + RN license in… more
- CVS Health (Baton Rouge, LA)
- …to meeting goals and objectives. + Utilizes case management processes in compliance with regulatory and company policies and procedures. + Utilizes motivational ... 1+ years' experience in Utilization Review. + CCM and/or other URAC recognized accreditation preferred. + 1+ years' experience with MCG, NCCN and/or Lexicomp. +… more
- Louisiana Department of State Civil Service (Shreveport, LA)
- …any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area ... of responsibility and ensures compliance with all such laws, regulations and standards. LSUS is an equal opportunity/affirmative action employer and encourages… more
- GovCIO (Baton Rouge, LA)
- …for a Full Stack Developer to sustain one of VA's legal case/matter and accreditation management systems. This role may include parts or all of the following: ... of system and development deployment as well as responsible for meeting software compliance standards. May design graphical user interface (GUI) to meet the specific… more