- Cardinal Health (Baton Rouge, LA)
- …Deep knowledge of risk and control frameworks as well as key regulatory requirements that impact healthcare organizations. + Direct experience in managing ... vulnerability scanning, virus management and intrusion detection as well as completes risk assessments. The IT Governance and Compliance function within the… more
- Highmark Health (Baton Rouge, LA)
- …field **EXPERIENCE** **Required** + 7 years in compliance , privacy, government affairs, healthcare operations, risk , audit, or legal functions + 5 years in a ... leadership role **Preferred** + 10 years in compliance , privacy, government affairs, healthcare operations, risk , audit, or legal functions + 5 years in … more
- Highmark Health (Baton Rouge, LA)
- …Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical ... and utilization management activities to ensure compliance with internal policies, state, CMS, and federal regulations. This role serves as a clinical subject matter… more
- Humana (Baton Rouge, LA)
- …part of our caring community and help us put health first** The Associate Actuary, Risk and Compliance is responsible for the overall management and oversight of ... recommends controls and cost-effective approaches to minimize risks. The Associate Actuary, Risk and Compliance work assignments involve moderately complex to… more
- Ochsner Health (New Orleans, LA)
- …- 2 years of experience in healthcare compliance , operations, regulatory compliance , risk management, audit, law, or related field. Preferred ... and privacy program, including auditing, monitoring, investigations, education, regulatory compliance , privacy, and reporting. Participates in audits,… more
- Datavant (Baton Rouge, LA)
- …Insights Platform suite. + Define multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management, ... industry conversations on emerging regulations and best practices related to prospective risk capture and concurrent review. ** Compliance & Quality:** + Partner… more
- Sumitomo Pharma (Baton Rouge, LA)
- …encounters is considered confidential. ** Compliance ** : Achieve and maintain Compliance with all applicable regulatory , legal and operational rules and ... including signal detection, signal validation, signal escalation, development of risk mitigation strategies and authoring of signal evaluation reports according… more
- Grifols Shared Services North America, Inc (Baton Rouge, LA)
- Would you like to join an international team working to improve the future of healthcare ? Do you want to enhance the lives of millions of people? Grifols is a global ... healthcare company that since 1909 has been working to...110 countries and regions. **Summary:** Develops and implements worldwide regulatory programs for marketed products and/or those for development,… more
- Humana (Baton Rouge, LA)
- …the Enterprise; + Perform risk assessments, develop and implement annual regulatory compliance auditing and monitoring work plans, oversee corrective action ... partners in delivering results in a manner that minimizes compliance risk exposure for the Company. As...optimize business results, you will: + Serves as dedicated Regulatory Compliance Officer for Louisiana Medicaid contract.… 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 ... management, or billing, _OR_ 6 years of experience in healthcare audit, compliance , or coding with a...and billing regulations and medical necessity guidelines (which includes compliance with applicable laws and regulations), business risk… more