- NTT America, Inc. (Austin, TX)
- …2, ISO 27001, NIST), and experience in regulated environments such as finance, healthcare , or public sector. ** Compliance Program Strategy:** + Develop and ... maintain an effective audit and compliance program strategy based on client requirements. Evaluate, interpret, and ensure clarity of contractual audit and … more
- Highmark Health (Austin, TX)
- … operations, risk, audit , or legal functions + 5 years in Healthcare Compliance or Privacy **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** ... 7 years in compliance , privacy, government affairs, healthcare operations, risk, audit , or legal functions...(CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified Compliance… more
- Cardinal Health (Austin, TX)
- …in IT Governance, Risk and Compliance functional roles such as IT Compliance , IT Risk Management, IT Audit , Enterprise Risk Management, etc preferred. + ... **_Company Overview:_** Cardinal Health, Inc. (NYSE: CAH) is a global healthcare services and products company. We provide customized solutions for hospitals, … more
- Carrington (Plano, TX)
- …procedural documents into a complete loan "servicing file" to respond to regulatory compliance audit /exams + Perform assigned compliance testing as assigned ... Analyst I will be responsible for the provisioning documentation for various audit and exam documentation. Also responsible for compliance testing and… more
- Molina Healthcare (TX)
- …our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role ... Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim...+ Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act… more
- Highmark Health (Austin, TX)
- …within task-based budgets.Collaborate and communicate with Information Security, Privacy, Procurement, Audit , Compliance , and other teams across the Enterprise ... fields of study **EXPERIENCE** **Required** + 5 years in Audit and Compliance To Include: + 3...control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes. + Knowledge of… more
- Humana (Austin, TX)
- … auditing experience + Ability to analyze large data sets + Knowledge of healthcare compliance , mainly primary care and risk adjustment, pharmacy knowledge a ... Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization.… more
- Immigration and Customs Enforcement (Pearsall, TX)
- Summary The Facility Healthcare Program Manager (FHPM) oversees clinical programs, accreditation readiness, risk management, and quality improvement at medium to ... project management skills, and CPR certification. Duties include staff training, compliance monitoring, and emergency preparedness This position is only open to… more
- ManpowerGroup (Houston, TX)
- …/ management of quality programs Required- Bachelor's Degree Preferred- CCEP - Cert Compliance & Ethics Prof Healthcare Compliance Association Or CHC ... in developing an auditing and monitoring program. Develop comprehensive audit tools to objectively measure internal performance and performance...- Certified in Healthcare Compliance American Institute of Healthcare … more
- Molina Healthcare (San Antonio, TX)
- …and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, milestones and deliverables are ... met * Evaluate results from audit activities to address barriers, gaps, opportunities for improvement,...implement processes and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS)… more