- Humana (Baton Rouge, LA)
- …assigned areas to optimize business results, you will: + Serves as dedicated Regulatory Compliance Officer for Louisiana Medicaid contract. + Build relationships ... for the Enterprise; + Perform risk assessments, develop and implement annual regulatory compliance auditing and monitoring work plans, oversee corrective action… more
- Prime Therapeutics (Baton Rouge, LA)
- …+ Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) ... drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory...5 years of progressive work experience in legal or compliance related roles for a healthcare or… more
- Highmark Health (Baton Rouge, LA)
- …healthcare operations, risk, audit, or legal functions + 5 years in Healthcare Compliance or Privacy **LICENSES or CERTIFICATIONS** **Required** + None ... (CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified Compliance...well as in-depth knowledge of the insurance industry, strategic compliance planning, regulatory concerns, compliance … more
- Evolent (Baton Rouge, LA)
- …analytical solutions for internal teams and external partners. + **Reporting & Compliance ** : Support ad hoc and regulatory reporting needs efficiently, ... mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant** The Client Analytics team provides a unique opportunity… more
- Humana (Baton Rouge, LA)
- …currently operates about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, ... areas. In this role, you will serve as a regulatory compliance subject matter expert with the...Ability to analyze large data sets + Knowledge of healthcare compliance , mainly primary care and risk… more
- Ochsner Health (New Orleans, LA)
- …and ensures development of corrective action plans. + Independently manages the regulatory compliance audit appeals process. + Coordinates the development and ... coding, auditing, utilization management, or billing, _OR_ 6 years of experience in healthcare audit, compliance , or coding with a bachelor's degree in related… more
- HCA Healthcare (Alexandria, LA)
- …patient / family, hospital staff, and outside agencies Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality ... At Rapides Regional Medical Center, you come first. HCA Healthcare has committed up to $300 million in programs...and neglect referrals; makes official reports to state and regulatory or legal agencies as required by statue or… more
- Prime Therapeutics (Baton Rouge, LA)
- …experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of ... assisting leaders in the implementation, monitoring, and maintenance of regulatory requirements throughout the enterprise. This position acts as...8 years of progressive work experience in legal or compliance related roles for a healthcare or… more
- Prime Therapeutics (Baton Rouge, LA)
- …Consultant Principal** role serves as a strategic advisor to the AVP of Compliance Regulatory Intelligence and Compliance Oversight, driving strategic ... **Key Responsibilities:** + Lead and coordinate special projects related to enterprise regulatory changes, audits, and enterprise compliance priorities. + Act as… more
- Fresenius Medical Center (Farmerville, LA)
- …mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory , FMS and FMS policy ... the facility ensuring cost-effective facility operations in accordance with all legal, compliance and regulatory requirements and programs. Collaborates with the… more