- Highmark Health (Sacramento, CA)
- …and rigorous testing against industry standards for quality assurance traceability and compliance . The incumbent requires the technical acumen to develop and execute ... 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
- Sutter Health (Sacramento, CA)
- …a union environment is preferred. **Knowledge:** + Healthcare Regulations and Compliance : In-depth knowledge of healthcare regulations, accreditation standards, and ... compliance . + requirements relevant to clinical service lines, including...to clinical service lines, including but not limited to HIPAA , CMS regulations, and accreditation standards. + Quality Improvement… more
- Grant Thornton (San Jose, CA)
- …a variety of domains including privacy strategy, governance, automation, risk, and compliance management - all with the resources, environment, and support to help ... and data protection regulations and frameworks, such as the GDPR, CCPA, CPRA, HIPAA , GLBA, NIST, ISO, and more + Experience working with leading privacy regulations… more
- Sunrun (CA)
- …supports plan administration, communication, RFP education, vendor management and compliance . **Responsibilities** + Manage the day-to-day benefits operations and ... and escalating to leadership where appropriate + Coordinate and facilitate compliance related matters, in partnership with external vendors, including (but not… more
- Abbott (Livermore, CA)
- …revenue cycle activities comply with federal, state, and payer regulations, including HIPAA and other applicable standards in cash transactions. + Lead payment ... review processes, oversee compliance with insurance payment regulations and payer requirements. + Support organizational audits and financial reviews while upholding… more
- Dignity Health (Bakersfield, CA)
- …leads, ensuring automation goals are aligned with operational needs, compliance requirements, and technology infrastructure. - Metrics and Reporting: Define ... leadership on progress, roadblocks, and value realization. - Governance and Compliance : Establish governance protocols to ensure all automation projects comply with… more
- Evolent (Sacramento, CA)
- …tools, and templates for oncology performance initiatives + Ensure strict compliance with federal and state regulations and company policies, procedures, and ... with managed care and/or provider engagement **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
- CVS Health (Lodi, CA)
- …Drivers take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct ... vehicle maintenance and alerting management for maintenance issues. + Maintain and full compliance with all Federal, State and Local laws and regulations + Maintain… more
- Evolent (Sacramento, CA)
- …Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality improvement environment- **Required** + Able ... and verbal communication skills. - **Preferred** **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
- Humana (Sacramento, CA)
- …medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD represents ... space lacking ongoing interruptions to protect member PHI / HIPAA information This is a remote position. **Scheduled weekly...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more