- Evolent (Sacramento, CA)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... action by a state medical board **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- Sanofi Group (Bakersfield, CA)
- …to facilitate pull through efforts and problem solve escalated issues as a HIPAA compliant contact. + Work compliantly to reduce cycle time and increase conversion ... and health care facility settings of care + Achieve and maintain compliance with all applicable Sanofi-Genzyme policies and procedures, regulatory and legal… more
- Humana (Sacramento, CA)
- …clearly-especially around generative AI. Design for scalability, reliability, and compliance . + **MLOps & DevOps Collaboration** Work with engineering and ... space lacking ongoing interruptions to protect member PHI / HIPAA information **SSN Alert Statement** Humana values personal identity...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Cardinal Health (Sacramento, CA)
- …a driven and skilled attorney with expertise in healthcare regulatory compliance , including third party billing and reimbursement. The Assistant General Counsel ... the AHS order entry and revenue cycle management team, Compliance , the Enterprise Privacy Office, and other internal teams...FDA regulation (Food, Drug & Cosmetic Act), and privacy ( HIPAA ). * Draft, negotiate and review a wide range… more
- Highmark Health (Sacramento, CA)
- …volumes, staff hours and allocation, expenses, and revenue. (10%) + Ensures compliance with all regulatory requirements including on-going education as required and ... must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and Privacy Policies and… more
- Humana (Sacramento, CA)
- …encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance ... space lacking ongoing interruptions to protect member PHI / HIPAA information **Interview Format** As part of our hiring...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Wellpath (Santa Rosa, CA)
- …in care coordination, emergency transfers, and review committees + Ensure compliance with facility regulations and maintain HIPAA standards **Additional ... management. They coordinate care with onsite medical staff and ensure compliance with documentation and clinical protocols. The role includes overseeing psychiatric… more
- Evolent (Sacramento, CA)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... action by a state medical board **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- Highmark Health (Sacramento, CA)
- …implementations, on-call and 24x7 supports when necessary. + Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures. + ... must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and Privacy Policies and… more
- SHI (Sacramento, CA)
- …and organizational goal alignment **Preferred Qualifications:** + Familiarity with CJIS, HIPAA , NIST, and other relevant industry standards, compliance , and ... 180 days of hire: + Microsoft Certified: Information Protection and Compliance Administrator Associate, OR + Microsoft Certified: Azure Security Engineer Associate,… more