- Prime Therapeutics (Pierre, SD)
- …analytical skills **Preferred Qualifications** + PBM/health care experience related to Medicare , Medicaid, Commercial, HIM + Certified Compliance and Ethics ... passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** The Senior… more
- Humana (Richmond, VA)
- …put health first** Humana Healthy Horizons in Virginia is seeking Quality Compliance Professionals who will be responsible for conducting audits and assessments to ... supports continuous improvement efforts by identifying areas of risk or non- compliance and recommending corrective actions. The Quality Compliance Professional… more
- Prime Therapeutics (Des Moines, IA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The ... Compliance Principal is responsible for supporting Oversight and Monitoring...or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- Project Renewal, Inc. (New York, NY)
- …Manager, Compliance is responsible for overseeing and implementing the organization's compliance program to ensure adherence to federal , state, and local ... program and assist in developing strategies to mitigate risks. + Ensure compliance with federal , state, and local healthcare regulations (eg, HIPAA, Stark… more
- Humana (Phoenix, AZ)
- …+ Research, understand, and apply laws, regulations, and regulatory guidance for federal and state compliance issues. + Analyze business requirements and ... conduct research, and provide regulatory guidance to business partners, Law, Risk, and Compliance associate and leaders with regard to federal and state… more
- Highmark Health (Austin, TX)
- …strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and compliance oversight. + ... are addressed in a timely and responsible manner in compliance with corporate policy, state and federal law and best practices. + Maintain a strong working… more
- Philips (Malvern, PA)
- …leading and supporting teams under a CIA, with hands-on experience managing compliance operations and ensuring adherence to federal healthcare program ... As the **Business Compliance Officer** , you will oversee the Company's... education and training initiatives, with a focus on federal healthcare program requirements, independent diagnostic testing facility regulations,… more
- AssistRx (Maitland, FL)
- … Manager in the review and management of third-party audits. + Verifies compliance with insurer rules, Medicare , Medicaid, HIPAA, and other applicable ... based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to verify identity… more
- Cardinal Health (San Juan, PR)
- …industry best-practices. + Develops and implements compliance training to ensure compliance with federal and state regulations and laws, CMS and other ... **_What Ethics & Compliance contributes to Cardinal Health_** Ethics & ...as institutional subject matter expert and authoritative resource regarding federal , state and payer documentation, billing and coding rules… more
- U-Haul (Phoenix, AZ)
- …tracking, and policyholder communications. This position assists in ensuring compliance with Medicare Supplement regulations, coordinating with internal ... changes in Med Supp regulations at both state and federal levels.Prepare summaries and compliance updates for...both state and federal levels.Prepare summaries and compliance updates for internal stakeholders.Assist in compliance … more