• Director of Governance & Compliance

    Bon Secours Mercy Health (Cincinnati, OH)
    …+ Certified Compliance & Ethics Professional (CCEP) or Certified Regulatory Compliance Manager (CRCM) **Education** + Master's Degree in Law ... Higher Education Accreditation Standards: Familiarity with institutional accreditation and regulatory compliance processes is critical. **Training** + Project… more
    Bon Secours Mercy Health (08/20/25)
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  • Senior Analyst, Enterprise Compliance

    Datavant (Columbus, OH)
    …+ 5+ years of experience in a compliance , internal audit, or risk role within the healthcare or technology industry. + Experience designing, implementing, ... Assessments** : Support internal and external audits, surveys or customer questionnaires, conduct compliance risk assessments, and Compliance Risk … more
    Datavant (08/27/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Columbus, OH)
    …experience + Ability to analyze large data sets + Knowledge of healthcare compliance , mainly primary care and risk adjustment, pharmacy knowledge a plus + ... senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO...risk across the organization. This team ensures that healthcare providers align their operational practices with legal requirements… more
    Humana (08/23/25)
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  • Compliance Manager

    Cushman & Wakefield (Cincinnati, OH)
    …years of experience. + Minimum 3 years' experience in an EHS role. + Healthcare Compliance and Joint Commission Experience required + Experience in EHS ... Facilities compliance / safety knowledge is a requirement, within the healthcare field preferred **Job Description** + Proactively leads the ongoing evaluation,… more
    Cushman & Wakefield (08/07/25)
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  • Program Operations Manager

    Molina Healthcare (Cincinnati, OH)
    …in-home assessment activities in all government lines of business impacted by the regulatory risk adjustment payment model. They will be assist with implementing ... **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data leaders, risk… more
    Molina Healthcare (08/29/25)
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  • Corporate Compliance Coding/Billing…

    Cleveland Clinic (Independence, OH)
    …degree and three years of recent experience with healthcare compliance , auditing, billing, coding, privacy, research, regulatory review and application, ... In this role, you will conduct billing and coding compliance reviews, monitor regulatory guidelines, and address...CCS-P, RHIT, CCA, AHIMA, COC, AAPC + Certification in healthcare compliance preferred + Knowledge of … more
    Cleveland Clinic (09/03/25)
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  • Compliance Analyst Principal (Performance…

    Prime Therapeutics (Columbus, OH)
    …experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of ... business owners to implement corrective action plans + Develops compliance communication for risk assessment and corrective...8 years of progressive work experience in legal or compliance related roles for a healthcare or… more
    Prime Therapeutics (07/25/25)
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  • Senior Corporate Counsel, Compliance…

    NASCO (Columbus, OH)
    …and ACA Exchanges business + Interacts with vendors and customers on legal and regulatory issues + Serves as our Compliance Official; supports compliance ... compliance stakeholders including product teams and HR to deliver clear regulatory guidance, effective compliance training and awareness campaigns. Creates… more
    NASCO (06/27/25)
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  • AVP, Encounters

    Molina Healthcare (Cincinnati, OH)
    …lines of business. This role has decision-making accountability for ensuring compliance with complex regulatory requirements, protecting the integrity of ... as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational...costs for all lines of business and directly impacting Risk Revenue and Quality Compliance . Partner with… more
    Molina Healthcare (08/22/25)
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  • Director, Operational Oversight (Medicare/Duals)…

    Molina Healthcare (Cleveland, OH)
    …responses for CMS audits and data-validation reviews * Ability to quantify financial, regulatory , and member-experience risk from complaint trends and to drive ... **Job** ** ** **Summary** Safeguard member trust and plan compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM… more
    Molina Healthcare (08/19/25)
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