- Bear Mountain Health Care (Worcester, MA)
- …Respiratory Department including clinical assessments, record keeping, monthly/quarterly reporting, compliance with treatment plans, compliance with state ... Medicare/Managed Care/Medicaid guidelines documentation . Monitor all dept documentation for compliance through chart audits . In-service as needed and complete… more
- Highmark Health (Boston, MA)
- …5 years Health Insurance experience in applicable market segment + State-specific Producer License Life, Accident & Health are required or must be obtained within 45 ... days of hire **Substitutions** + None **Preferred** + Master's Degree + Leadership & Management experience **Skills** + Demonstrated financial acumen. + Leadership + Coaching + Talent Management + Strategic Thinking + Business Acumen + Communication +… more
- Dana-Farber Cancer Institute (Boston, MA)
- …direction of the Breast Imaging Manager & Supervisor and Breast Imaging Clinical Director , the Quality Control & Compliance (QCC) technologist is responsible for ... technical review, accreditation and/or reaccreditation of equipment, etc.) in compliance with accrediting and regulatory agencies (The Joint Commission, American… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …The Role:The Medical Clinical Program Manager will focus on utilization management compliance and audit readiness activities such as evaluating and supporting Health ... and Medical Management's (HMM) and delegate's compliance with the applicable NCQA utilization management standards and...deliverables with minimal support; keep project/ workgroup leads and Director informed of key issues/ risks and meet deadlines… more
- State of Massachusetts (Boston, MA)
- …of Housing and Livable Communities (EOHLC) is seeking a Federal Grants Compliance Coordinator/Program Coordinator II in the Division of Housing Stabilization!_* *__* ... support to Massachusetts communities. **_OVERVIEW OF ROLE:_** The Federal Grants Compliance Coordinatorprovides operational oversight of the contract compliance … more
- Children's Hospital Boston (Boston, MA)
- …under the general supervision of the Program Director and/or Division Manager, ensuring compliance ... as needed. + Oversees onboarding, ensuring timely completion of licensing , visa, credentialing, and moonlighting requirements. + Develops and coordinates… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Director , Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. Specialist II is responsible for ensuring CCA's operational ... compliance with state and federal healthcare regulations, particularly MassHealth...an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal… more
- Takeda Pharmaceuticals (Boston, MA)
- …inspire you and empower you to shine? Join us as a Manager, Global Trade Compliance based in Cambridge/Lexington, MA reporting to the Senior Director - Global ... Clinical Supply Chain Import Export Operations and Global Trade Compliance . At Takeda, we are transforming the pharmaceutical industry through our R&D-driven market… more
- Next Step Health Care (Woburn, MA)
- …+ Conducts assigned clinical system audits at designated facilities to promote regulatory compliance . + Partners with the Director of Training and Development ... reserved for the most compassionate, caring, and hard-working individuals. The Regional Nurse/ Director of Clinical Operations will serve as a Nurse Consultant for a… more
- State of Massachusetts (Boston, MA)
- …insurance related entities licensed or certified by the Division to ensure compliance with state laws, regulations and bulletins. Such examinations may include a ... operations and management, complaint handling, marketing and sales, producer licensing , underwriting and rating and claims handling. Market conduct examinations… more