- Molina Healthcare (Davenport, IA)
- …Microsoft Purview, Collibra) and integration into ARB review processes. + Familiarity with compliance standards and regulatory needs (eg, HIPAA , GDPR, SOC 2) ... and application development standards, methodology and, framework within Architectural compliance and governance. **Knowledge/Skills/Abilities** * Industry specialist for multiple… more
- Molina Healthcare (Des Moines, IA)
- …+ Ensures staff is compliant with regulatory and company guidelines, including HIPAA compliance . + Responsible for day-to-day functions of the enrollment ... including goal setting and score card development + Monitors and enforces compliance with enterprise-wide processes and develops workflows for all staff to follow… more
- Molina Healthcare (Davenport, IA)
- …pharmacies, and technicians to meet departmental and CMS standards. + Enforce HIPAA compliance standards and regulations while maintaining guidelines and other ... for performing outreach attempts and handle inbound calls for our Molina Healthcare members. Duties include, but are not limited to, transferring members to… more
- Evolent (Des Moines, IA)
- …+ Quick learner with good follow-through and experience with interpreting healthcare provider contracts **preferred** **To comply with HIPAA security ... 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
- Molina Healthcare (Sioux City, IA)
- …API integration, automation, configuration management, monitoring, ensuring security and compliance are thorough in all cloud services implementation * Experience ... in working with industry regulations, standards, and frameworks like NIST, PCI, SOX, HIPAA , GDPR * Requires working knowledge of Microsoft technology stack and SQL… more
- Molina Healthcare (IA)
- …sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going ... Maintain confidentiality and comply with Health Insurance Portability and Accountability Act ( HIPAA ) + Ability to establish and maintain positive and effective work… more
- Molina Healthcare (Iowa City, IA)
- …The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of business. ... populations. + Collaborate with legal, claims, provider relations, finance, and compliance departments to ensure coordination and alignment on recovery efforts. +… more
- Evolent (Des Moines, IA)
- …preferred** + Basic knowledge of GAAP also **preferred** **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)), identity verification 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
- Evolent (Des Moines, IA)
- …transformation goals into technical solutions + Design integration architectures that maintain HIPAA compliance and protect patient privacy + Implement robust ... models, and healthcare economics + Knowledge of healthcare regulatory requirements ( HIPAA , HITECH, 21st Century...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- UnityPoint Health (Anamosa, IA)
- …a manner consistent with all policies and procedures, including but not limited to Compliance , HIPAA and personnel workplace rules. + Behave in a manner ... consistent with all Compliance and HIPAA policies and procedures. +...calendar year. + Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs… more