• Senior Billing Compliance Reviewer

    Dana-Farber Cancer Institute (Brookline, MA)
    …as a liaison and collaborate with business partners (revenue cycle, nursing, clinical operations, HIS, ancillary departments, etc.). + Work with the educator to ... CPC, RHIT, or RHIA). + Preferred: CPMA (Certified Professional Medical Auditor ) and/or CHC (Certified in Healthcare Compliance) or equivalent compliance… more
    Dana-Farber Cancer Institute (12/04/25)
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  • Performance Quality Analyst I

    Elevance Health (Los Angeles, CA)
    …delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. The **Performance Quality ... you will make an impact:** + Assists higher level auditor /lead on work as assigned, including performing special audits...and track the impact of improvement efforts on management, clinical staff, and associate performance to ensure alignment with… more
    Elevance Health (12/04/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (Reno, NV)
    …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... departments within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with… more
    Molina Healthcare (11/27/25)
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  • Sr Quality Engineer I

    Gilead Sciences, Inc. (Foster City, CA)
    …14971 and other applicable standards. + Collaborate with SMEs from R&D, Clinical , and Operations to ensure comprehensive application of risk processes. + Participate ... concepts, industry practices, and standards. + Quality experience in both clinical and commercial products. + Strong understanding of US and international… more
    Gilead Sciences, Inc. (11/26/25)
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  • Medical Records Tech (Coder) A

    Veterans Affairs, Veterans Health Administration (Reno, NV)
    …usage for outpatient health records. Audit function includes evaluation of clinical documentation to support optimal code assignment. Reviews coding and assist ... AAPC. (2) Mastery Level Certification through AHIMA / AAPC. (3) Clinical Documentation Improvement Certification through AHIMA or ACDIS. Grandfathering Provision:… more
    Veterans Affairs, Veterans Health Administration (11/22/25)
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  • Validation Manager

    Astellas Pharma (Westborough, MA)
    …range of disease indications, ranging from macular degeneration (currently in clinical trials) and other ocular indications to vascular and autoimmune disease. ... Cell Therapy Manufacturing facility in Westborough, MA as products move through clinical trials and commercialization. The Validation Manager will be a leader and… more
    Astellas Pharma (11/21/25)
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  • 340B Programs Manager

    Bon Secours Mercy Health (Cincinnati, OH)
    …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Summary:** The Pharmacy 340B Program Manager is ... to ensure that the 340B software is coordinated and integrated with the clinical information system software. This shall include the electronic interface between the… more
    Bon Secours Mercy Health (11/10/25)
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  • Analyst, Compliance Auditing, Monitoring…

    Option Care Health (Bannockburn, IL)
    …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... methodologies. + Certified in Healthcare Compliance (CHC), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or similar certification preferred.… more
    Option Care Health (10/19/25)
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  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …with Senior Compliance and Privacy Office leadership as well as other key clinical and operational leaders on compliance matters. + Ensure that policies and ... emphasis on Evaluation and Management (E/M) services, procedural coding, and clinical documentation improvement. + Participate in provider orientation to ensure… more
    Emory Healthcare/Emory University (09/23/25)
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  • Senior Accountant- Physician Organization (onsite…

    Houston Methodist (Houston, TX)
    …Public Accountant - State Licensure **AND** + CIA - Certified Internal Auditor (IIA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and competencies ... Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment. Houston… more
    Houston Methodist (12/09/25)
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