- Highmark Health (Des Moines, IA)
- …healthcare operations, risk, audit, or legal functions + 5 years in Healthcare Compliance or Privacy **LICENSES or CERTIFICATIONS** **Required** + None ... foundational understanding of privacy regulations, including in-depth knowledge of HIPAA and possess the ability to perform a privacy...(CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified Compliance… more
- Highmark Health (Des Moines, IA)
- …Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization ... management activities to ensure compliance with internal policies, state, CMS, and federal regulations....framework, including but not limited to NIST, HITRUST, PCI, HIPAA , SOC, MAR, CMS, JCAHO, in order to identify,… more
- Evolent (Des Moines, IA)
- …**What You'll Be Doing:** **Sr Director of Product Management - AI & Healthcare Innovation** Evolent is seeking a strategic and experienced Sr **Director of Product ... to lead the vision, planning, and execution of cutting-edge healthcare AI solutions. This leader will own the end-to-end... delivery through intelligent, AI-driven solutions. **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),… more
- Humana (Des Moines, IA)
- … auditing experience + Ability to analyze large data sets + Knowledge of healthcare compliance , mainly primary care and risk adjustment, pharmacy knowledge a ... conducts compliance related audits to assess internal controls, examining healthcare records and processes, and analyzing and reporting risks. + Influence… more
- Molina Healthcare (Des Moines, IA)
- …preparing) for regulatory and compliance audits & assessments. + Ensure compliance with applicable regulations (eg, HIPAA , NYS DFS) and industry standards ... on internal and third-party risk assessments and audits. Assessment and compliance activities include validating controls in the IT department, managing risk… more
- Evolent (Des Moines, IA)
- …mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant** The Client Analytics team provides a unique opportunity ... Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers,...for internal teams and external partners. + **Reporting & Compliance ** : Support ad hoc and regulatory reporting needs… more
- Actalent (Clive, IA)
- …compassionate support, attention, and assistance to patients and their families. + Ensure compliance with healthcare regulations including HIPAA and OSHA. ... Essential Skills + Registered Nurse (RN) license. + Experience in healthcare and medical settings. Work Environment You will work in a clinic setting, directly… more
- NASCO (Des Moines, IA)
- …obligations + Serves as the legal subject matter expert on federal and state healthcare laws and regulations, including HIPAA + Provides legal guidance on ... and other licensing agreements + Experience providing counsel on compliance issues, including related to HIPAA +...counsel on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges… more
- Molina Healthcare (Davenport, IA)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Program Director is a key Quality… more
- Highmark Health (Des Moines, IA)
- …implementations, on-call and 24x7 supports when necessary. + Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures. + ... + Experience with databases + Experience with multiple coding languages **Preferred** + Healthcare experience is strongly preferred + .NET + SQL **SKILLS** + Problem… more