- Edwards Lifesciences (Irvine, CA)
- …PowerPoint, Excel, and SharePoint + Moderate knowledge of medical terminology and healthcare compliance and privacy regulations (eg HIPAA and Sunshine Act) + ... appropriate approvals in collaboration with key stakeholders (eg Clinical Affairs, Legal Compliance , Finance) + Analyze need for contract amendments or renewals and… more
- Sharp HealthCare (San Diego, CA)
- …in collaboration with regional medical directors, ambulatory care managers and hospital case management departments. Participates in the development of the annual ... plan audits and requirements of NCQA. Collaborates with the Quality, Compliance and Training Department to effectively integrate and implement process consistent… more
- Actalent (Fountain Valley, CA)
- …the investigative team, pharmaceutical sponsors, and research participants to ensure compliance with regulatory standards and ethical research practices. The ideal ... forms and cross-reference patient medical records for completeness and FDA compliance . + Collect, enter, and manage clinical data while maintaining confidentiality.… more
- Datavant (Sacramento, CA)
- …opportunity to play a pivotal role in elevating coding quality, ensuring compliance , and optimizing service outcomes in both hospitals and alternative care settings. ... PCS, HCPCS). + Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines. + Communicate professionally with… more
- Highmark Health (Sacramento, CA)
- …the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In ... for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure… more
- Cedars-Sinai (Los Angeles, CA)
- …pain management and quick recovery, Cedars-Sinai has been ranked as the No. 1 hospital in Southern California for Orthopaedics by US News & World Report. Join ... the study. The CRAI evaluates and abstracts research data and ensures compliance with protocol and research objectives. This role is responsible for completing… more
- Option Care Health (San Fernando, CA)
- …in an alternate infusion suite, to ensure patient safety with continuity and compliance under a physician's plan of care. Works under structured supervision of the ... mentorship to Infusion Nurse I's as needed to ensure patient safety and compliance . + Provides effective and safe teaching using patient-centered care approach for… more
- Edwards Lifesciences (Irvine, CA)
- …contract negotiation and administration + Full knowledge of medical terminology and healthcare compliance and privacy regulations (eg HIPAA and Sunshine Act) + ... oversee the full contract lifecycle-from initiation through completion or termination-ensuring compliance and operational efficiency. This is a hybrid role (office… more
- Oracle (Sacramento, CA)
- …+ Familiarity of Healthcare coding systems (SnomedCT, ICD 9/10/11) and Health care compliance standards (eg HIPAA ). + Background in a clinical documentation role ... Evaluate AI-generated medical notes (eg, SOAP, Progress Notes) from ER, outpatient, and hospital workflows to enhance accuracy and usability of our current models. +… more
- Sonora Quest (Susanville, CA)
- …**Susanville, CA** . **POSITION SUMMARY** This position may be located within a Hospital Facility, Patient Service Center (PSC), In Office Phlebotomy (IOP) or Mobile ... age criteria as required. In IOP locations, will manage client relationship within Compliance regulations to ensure that their needs are met and Sonora Quests'… more