- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Medical Clinical Program Manager will focus on utilization management compliance and audit readiness activities such as evaluating and supporting Health and Medical ... Island, & Massachusetts utilization management related compliance including: + Monitor, audit , gap identification, analysis, and summary of key findings to various… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a ... scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the… more
- State of Massachusetts (Lawrence, MA)
- …37 Shattuck Street, Lawrence MA. Under the supervision of the Deputy Division Director , or his/her designee, the Quality Assurance (QA) Supervisor will supervise and ... and technical guidance to AAB staff on QA procedures, audit processes, and federal regulatory updates. * Evaluate QA/QC...and federal regulatory updates. * Evaluate QA/QC data and audit findings, develop corrective actions, and track resolution of… more
- PSI Services (Boston, MA)
- …core activities across quality, risk management, Information Security, data protection, and audit readiness to ensure the organization meets ISO, PCI, SOC 2, and ... a standard 09:00 - 17:30 schedule. The role reports to the Snr Director of Information Security, Governance, Risk and Compliance and may be performed remotely,… more
- Fresenius Medical Center (Lexington, MA)
- …with all applicable state and federal laws and regulations. Collaborates with Compliance Audit to contribute to projects related to the Compliance Audit , ... within Operational Excellence. Supports the Vice President or Senior Director of Compliance and the Chief Compliance Officer. PRINCIPAL...and reports as needed by the VP or Senior Director of Compliance. + Other duties as assigned, including… more
- Omni Hotels (Boston, MA)
- …but not limited to: Accounts Payable, Accounts Receivable, General Cashier, Income Audit , and assist with Month-End closing. Responsibilities + Assist in maintaining ... Prepare monthly journal entries as assigned + Assist with audit requests + Assist with preparing customer invoices or...+ Perform other duties requested by Accounting Manager, Assistant Director of Finance, Hotel Controller and Director … more
- Citizens (Westwood, MA)
- …proactively reviewing, analyzing, and identifying emerging risks, escalating to the Senior Director / Director of First Line Risk where appropriate. You will work ... with the Senior Director / Director to adhere to internal governance processes...Finance, Business Administration, MBA a plus + Proficiency in Audit , Risk Management, Compliance related roles + Preferred Certifications… more
- Fallon Health (Worcester, MA)
- …standards; problems lacking clear precedent are usually reviewed with the Director , UM and PA prior to taking action. **Responsibilities** **Primary ... in internal and external meetings, on behalf of the Director , as needed. + Becomes the SME to work...skill sets + Staff special project completion + Quality audit reviews of authorizations + Updates to Medicare/Medicaid regulatory… more
- Humana (Boston, MA)
- …Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This ... mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for… more
- CBRE (Boston, MA)
- …Manager, will be responsible for managing in scope contract commercials, financial reporting, process, audit and control of the AMS portfolio. As a key member of the ... the CBRE and Bank PLAN and Forecasting outputs. + Support Global Finance Director , Account Lead and Regional Operations Lead with high quality financial information.… more