- University of Southern California (Los Angeles, CA)
- In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded ... professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines,… more
- Highmark Health (Pittsburgh, PA)
- …administrators and producers to ensure seamless program execution and compliance . Additionally, this leader will make recommendations on producer incentives ... technical support related to appointments and producer compensation. Ensure compliance with all state and federal requirements regarding producer administration… more
- Highmark Health (Pittsburgh, PA)
- …overall network re-contracting. Accountable for monitoring recruitment to ensure compliance with program contractual network adequacy standards and coordinates with ... plan members. Oversees development of provider contracts to ensure compliance with state specific requirements. **ESSENTIAL RESPONSIBILITIES** + Performs management… more
- Oracle (Austin, TX)
- …and management of secure cloud architectures for DoD mission requirements Ensure strict compliance with DoD security policies, including but not limited to DoD Cloud ... security elements including Secure Technical Implementation Guide (STIG)s, Assured Compliance Assessment Solution (ACAS), Endpoint Security Solutions (ESS) and… more
- Carle Health (Peoria, IL)
- …advancing clinical outcomes and efficiency. Ensures all functions are in compliance with applicable regulatory guidelines and accrediting standards. Observes and ... to the Illinois Nurse Practice Acts, ANA and APNA practice standards, Code of Ethics, Licensure and CEU requirements, job descriptions, professional accountability… more
- Highmark Health (Tallahassee, FL)
- …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
- Trinity Health (Des Moines, IA)
- …knowledge** of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of conduct, as well as other policies ... and clinics in the Central Iowa division. The role ensures regulatory compliance , optimizing building performance, and supports patient safety and care with safe,… more
- New York State Civil Service (Albany, NY)
- …or delays encountered and relay any relevant information to the AVP, Director , and/or Compliance Managers.* Participate in weekly, monthly, and quarterly ... Street Address 625 Broadway City Albany State NY Zip Code 12245 Duties Description *Applicants MUST submit a cover...Provide administrative support to the Assistant Vice President and Director of OCSD.* Maintain and update MWBE databases, ensuring… more
- Mizuho Corporate Bank (New York, NY)
- …. Complete compliance training, review relevant materials, and follow the Code of Conduct. Report suspected transactions or sanctioned parties to the OFAC ... Officer. Adhere to all guidance from Compliance OFAC Officer. Understand OFAC regulations for Loan operations....loan data (ACBS, LoanIQ), identify OFAC matches, and ensure compliance with unit requirements. + This position requires handling… more
- Banner Health (CA)
- …platform initiatives align with overall IT strategy and business goals. 8. Compliance and Security: Ensures compliance with regulatory and accreditation ... cloud and modernizing application stacks. Experience with infrastructure as code (IaC) and automation tools (Terraform, CloudFormation, Ansible). Demonstrated… more