- Molina Healthcare (Columbus, OH)
- …communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while ... network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance… more
- Molina Healthcare (OH)
- …oversees vendor performance involving onshore and offshore resources, monitors regulatory compliance adherence (in conjunction with functional counterparts) ... ROI on the covered benefits and its management + Oversees vendor performance, compliance , and satisfaction, with a focus on minimizing gaps in member, vendor and… more
- Dayton Children's Hospital (Dayton, OH)
- …communication, and interpersonal skills Certifications/ Professional exp + CHC-Certified Healthcare Compliance , must acquire within first 12 months, ... preferred. + CCS-Certified Coding Specialist certification preferred; 1+ year compliance / regulatory , preferred. + Understanding regulations (HIPPA, Stark Law,… more
- Molina Healthcare (Akron, OH)
- …and in compliance with all relevant federal, state, and local regulatory requirements. **Job Duties** + Leads and supports integrated duals overall business and ... + Coordinates accountabilities between duals office and shared service to drive compliance and efficiency as well as provide oversight, including service level… more
- Molina Healthcare (Columbus, OH)
- …Microsoft Purview, Collibra) and integration into ARB review processes. + Familiarity with compliance standards and regulatory needs (eg, HIPAA, GDPR, SOC 2) ... and application development standards, methodology and, framework within Architectural compliance and governance. **Knowledge/Skills/Abilities** * Industry specialist for multiple… more
- Molina Healthcare (Cleveland, OH)
- …program is to ensure the Molina provider network consists of providers that meet regulatory and risk management criteria to minimize liability to the company and ... ensure work is completed timely, key performance indicators are met, and ensure compliance with policies and procedures. **Job Duties** * Supervise day to day… more
- Williams Companies (North Canton, OH)
- … compliance programs + Cultivates relationships between Williams and regulatory agencies + Interprets applicable federal, state and local environmental ... regulations and ensures compliance with such regulations + Assesses environmental risk...risk reduction plans including the development of required regulatory documentation + Other duties as assigned Education/Years of… more
- NASCO (Columbus, OH)
- …and implementation, analytics strategy, platforms and patterns, AI/ML governance, and US healthcare payer regulatory compliance (eg, HIPAA, HITRUST, CMS). ... engineering teams to deliver data-driven SaaS solutions that enhance healthcare payer operations, risk management, and member...compliance and legal teams to anticipate and address regulatory changes impacting AI and data usage AI Strategy… more
- Prime Therapeutics (Columbus, OH)
- …advising senior business leaders on legal strategy, risk mitigation, and regulatory interpretation + Demonstrated experience in federal healthcare laws and ... functions (corporate governance, dispute resolution, contract negotiation, employment law, audits/investigations, regulatory compliance ) + 3 years of experience… more
- OhioHealth (Columbus, OH)
- …risk exposure through performance improvement processes and meeting regulatory and accreditation requirements. Accountable to facilitate, influence, plan, ... Understands and executes quality and patient safety methodologies, as well as regulatory requirements, risk mitigation strategies to improve care. 5. Provides… more