- Baylor Scott & White Health (Dallas, TX)
- …growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. **BENEFITS** Our benefits are designed ... **JOB SUMMARY** The Healthcare /Billing Compliance Consultant Sr performs ongoing... practices into broader business operations. . Assists in investigations , audits, and risk assessments to ensure compliance… more
- Molina Healthcare (TX)
- …+ Policy & Procedures **PREFERRED QUALIFICATIONS:** + BA/BS and/or CHC (Certified in Healthcare Compliance ) To all current Molina employees: If you are ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare 's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a… more
- Texas Health Resources (Arlington, TX)
- …field. Req **Experience** 5 Years Minimum of five years of experience in healthcare compliance , regulatory affairs, or related field, with a proven track ... and performing follow-ups, as appropriate. Oversee and carryout independent investigation on matters related to compliance and/or...Professional Certification Upon Hire Pref CHC - Certified in Healthcare Compliance Upon Hire Pref Or CHC… 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 ... conducts compliance related audits to assess internal controls, examining healthcare records and processes, and analyzing and reporting risks. + Influence… more
- Highmark Health (Austin, TX)
- … Program including auditing/monitoring operational processes, conducting or overseeing compliance investigations , and ensuring that adequate training takes ... to internal and external audit progress, recurring risk and compliance reporting, mandated training, investigations , and the...risk, audit, or legal functions + 5 years in Healthcare Compliance or Privacy **LICENSES or CERTIFICATIONS**… more
- Molina Healthcare (Houston, TX)
- …Advantage or Medicaid programs + Awareness of CMS audit processes or healthcare compliance requirements **Ideal Candidate Attributes** + **Curious and Eager ... opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and cross-functional collaboration. Success in this role… more
- Cardinal Health (Austin, TX)
- …E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles and techniques; CMS ... adherence to policies, educates and trains employees across the organization, and conducts investigations to resolve ethics and compliance issues. Ethics & … more
- Baylor Scott & White Health (Dallas, TX)
- …growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. BENEFITS Our benefits are designed ... embed compliance practices into broader business operations. . Assists in investigations , audits, and risk assessments to ensure compliance with company… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …the overall coding, billing, documentation, and reimbursement system for potential compliance problems. + Conducts investigations of non-compliant, alleged ... and concise manner. Knowledge of state and federal laws applicable to healthcare and compliance industry. Knowledge of Current Procedural Terminology ( CPT ) and… more
- Caris Life Sciences (Irving, TX)
- …timely communication. * Assists with the implementation, and continuous monitoring of compliance investigations . * Coordinate with Legal, HR, and other ... outcomes, and corrective actions. * Identify trends and root causes from investigation data to inform compliance training and risk mitigation strategies.… more