- Guthrie (Sayre, PA)
- …Conducts auditing for accuracy of coding, leveling, and provider documentation in compliance with accepted guidelines ( federal , state, local, and insurance ... Summary: A senior level compliance coding auditor conducting assessments in accordance with...as well as The Guthrie Clinic policies, as applicable, Medicare , Medicaid, and LCD (Local Coverage Determinations), and NCD… more
- Baylor Scott & White Health (Santa Fe, NM)
- …implementation, maintenance of, and adherence to established policies and procedures in compliance with federal , state, and local laws and regulations. SALARY ... lessons are completed in a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to BSWH… more
- Prime Therapeutics (Santa Fe, NM)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior ... Compliance Analyst assists in the implementation of Prime's ...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- Prime Healthcare (Ontario, CA)
- …and maintaining effective compliance programs + Knowledge of laws relating to Medicare , Medicaid, EMTALA, HIPAA, the Stark Law, the False Claims Act, and the ... seeking new members to join our corporate team! Responsibilities The Corporate Compliance Coordinator at Prime will participate and assist in compliance -related… more
- Centene Corporation (New York, NY)
- …business subsidiaries. + Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, ... changes everything for our 28 million members. **Position Purpose:** Ensure regulatory compliance with state and other government agencies related to the health… more
- State of Georgia (Fulton County, GA)
- …Key Performance Indicators (KPI) for the Exchange. Develop and implement federal compliance reporting processes, including collating enrollment metrics, ... Medicaid Services (CMS) required financial and programmatic audit materials. Ensure compliance with state and federal reporting regulations. Identify potential… more
- WestCare Foundation (Henderson, NV)
- …expertise in the areas of quality documentation and records review in relation to Medicaid/ Medicare regulations and all other federal , state and local rules and ... Contract Compliance Assistant Job Details Job Location Henderson -...the agency in ensuring that documentation requirements for Medicaid, Medicare and other funding sources per chapter and contract… more
- University of Utah (Salt Lake City, UT)
- …appropriate links are available on the BRR , eProposal, and eAward systems to promote compliance with this new federal policy + Ensure that aspects of research ... Details **Open Date** 07/28/2025 **Requisition Number** PRN42631B **Job Title** Compliance Specialist **Working Title** Compliance Specialist **Career… more
- Hartford HealthCare (Hartford, CT)
- …scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal , state and private payor regulations, guidelines and ... you to become part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of Compliance … more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking,… more