- RELX INC (Atlanta, GA)
- …Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits- Health Savings, Health Care , Dependent Care and Commuter ... Are you looking to utilize your compliance and governance expertise as a critical member...some of the benefits we are delighted to offer:- Health Benefits: Comprehensive, multi-carrier program for medical, dental and… more
- Rochester Regional Health (Rochester, NY)
- …Medical Group. + Ensures that practice facility is maintained to Rochester Regional Health System standards that meet compliance with any applicable safety ... Job Title: Practice ManagerDepartment: Primary Care Location: Penn Fair Primary Care ...may be mandated by any regulatory agency or the health system. Understands and assures compliance for… more
- YesCare Corp (Montgomery, AL)
- …best interests as each pertains to the applicable states' Department of Corrections Health Care Services regulatory monitoring entity + Establish and maintain ... lives through care and expertise. **Key Responsibilities** + Champion YesCare's Compliance Program and drive all essential compliance functions as necessary… more
- Centene Corporation (Austin, TX)
- …of identified non- compliance in order to meet the requirements of Government-sponsored health care programs. + Participates in mock and actual CMS and other ... fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance ...government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws.… more
- AdventHealth (Maitland, FL)
- …Governmental (Medicare, Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all AH ... Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, and coding for all types… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …policies, procedures, and practices to ensure the facility operates ethically and in compliance with all Federal and State Health Insurance Portability and ... (WBHH) is a 117-bed psychiatric hospital that provides comprehensive psychiatric care for children, adolescents, and adults through acute inpatient stabilization and… more
- Bowery Residents Committee (Manhattan, NY)
- Program Compliance Coordinator Job Description The Program Compliance Coordinator is a key member of the Program Compliance team, committed to ensuring BRC ... client services in line with funder regulations and appropriate standards of care . This multifaceted role includes conducting clinical chart reviews and analyzing… more
- S&P Global (New York, NY)
- …provide everything you-and your career-need to thrive at S&P Global. Our benefits include: + Health & Wellness: Health care coverage designed for the mind ... are seeking a motivated professional to join the Ratings Compliance & Risk team as a Compliance ...our customers to achieve shared goals. **Benefits:** We take care of you, so you can take care… more
- Prime Therapeutics (Pierre, SD)
- …multiple projects simultaneously + Strong analytical skills **Preferred Qualifications** + PBM/ health care experience related to Medicare, Medicaid, Commercial, ... drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved,… more
- Gateway Hudson Valley (Kingston, NY)
- Care Manager - Health Home Plus Job Details Job Location Corporate Headquarters - Kingston, NY Position Type Full Time Education Level 4 Year Degree Salary Range ... Medical, Dental, Life Insurance, 403(b) Retirement, Holidays, and generous PTO POSITION SUMMARY Health Home Plus (HH+) is an intensive care management program… more