- CVS Health (Phoenix, AZ)
- …technical, analytical, and business support for all assigned programs for Medicare , Medicaid, and Commercial products. Programs currently include End-Stage Renal ... will also be required to speak to Med D compliance and reporting documentation associated with our clinical programs....**Knowledge of:** + 3+ years of Pharmacy Benefit Management, Medicare Part D or Medicaid experience + 2 +… more
- CVS Health (Providence, RI)
- …planning to ensure consistency and interoperability across systems. + Ensure compliance with enterprise security, privacy, and regulatory standards (eg, HIPAA, ... will be considered for employment in accordance with all federal , state and local laws. We are an equal...expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal , state, or local… more
- CVS Health (Hartford, CT)
- …based on data latency, scalability, and operational resilience. + Ensure compliance with enterprise security, privacy, and regulatory standards (eg, HIPAA, SOC2). ... will be considered for employment in accordance with all federal , state and local laws. We are an equal...expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal , state, or local… more
- Healthfirst (NY)
- …State Producer License. + Experience with CRM; Salesforce a plus. ** Compliance & Regulatory Responsibilities:** Noted above **License/Certification:** N/A WE ARE AN ... veteran status, marital status, mental or physical disability or any other protected Federal , State/Province or Local status unrelated to the performance of the work… more
- Cedars-Sinai (CA)
- … Medicare and Medi-cal managed care members are in compliance with program regulations, insurance regulations, and regulatory requirements. + Maintains ... and tracks laws and regulations, contract documentations, amendments, and various compliance measures pertaining to Commercial, Medicare and Medi-cal managed… more
- Banner Health (AZ)
- **Department Name:** Compliance **Work Shift:** Day **Job Category:** General Operations **Estimated Pay Range:** $27.72 - $46.20 / hour, based on location, ... Plans & Networks (BPN) is an integrated network for Medicare , Medicaid, and private health plans. Known nationally as...experience and skills to BPN. As a Health Plan Compliance Auditor, your primary responsibility is to conduct audits… more
- Prime Therapeutics (Boise, ID)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is ... execution of the Regulatory Intelligence communication strategy. This position acts as Compliance and regulatory liaison for all lines of business with internal… more
- University of Utah (Salt Lake City, UT)
- …coordinates and conducts audits on documentation, abstraction and coding to ensure compliance with University, state and federal guidelines. 2. Analyzes and ... ( CPC , ACS , CCS -P/H, RHIA ); knowledge of medical auditing, Federal healthcare program policies and requirements (including Medicare Parts A and B),… more
- Option Care Health (Bannockburn, IL)
- …assess, and optimize compliance with all laws, regulations and guidelines with Federal and State programs. This role requires a strong level of auditing and ... teams to develop and implement analytics-driven, risk-based capabilities to continuously monitor compliance with internal policies and federal , state, and local… more
- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Compliance Lead serves as the dedicated Compliance Officer for Louisiana to analyze ... partners in delivering results in a manner that minimizes compliance risk exposure for the Company. As a ...partners, the State Medicaid Office and/or the Centers for Medicare and Medicaid Services (CMS). While working within assigned… more