- Robert Half Accountemps (Minneapolis, MN)
- …experience in quality assurance, auditing, or a related field, preferably within the healthcare industry. * Rx claims experience * Strong analytical skills with ... Description We are looking for a skilled Quality Audit Analyst to join our team in Minneapolis,...within the Enrollment Employer Installation division of a leading healthcare organization. Your expertise in quality assurance and process… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …Chief Compliance Officer in executing an effective compliance program. The Manager, Healthcare Law Auditing & Monitoring, executes the annual plan by conducting ... notes, speaker programs, and HCP spend to help to ensure compliance with healthcare laws, regulations and guidance (such as the Anti-Kickback Statute, False … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Career at Emory University** **Be inspired. Be valued. Belong.** At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ... The Compliance & Privacy Partner reports to the Chief Compliance Officer of Emory Healthcare (CCO EHC) and is responsible for supporting the daily operations of the… more
- HCA Healthcare (Austin, TX)
- …+ Ensuring compliance with federal, state and HCA regulations, policies, procedures, and audit requirements in the use of patient data for research purposes + ... new analytical capabilities. + Constructing and manipulating large electronic claims datasets, knowledge in domain modeling, relational database design, programming… more
- Sharp HealthCare (San Diego, CA)
- …investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. **Required Qualifications** + 3 Years in HMO or ... insurance product implementation, benefit/coverage policy development, benefit configuration, or claims role. **Other Qualification Requirements** + Bachelor's degree in… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... insurance product implementation, benefit/coverage policy development, benefit configuration, or claims role. **Other Qualification Requirements** + Bachelor's degree in… more
- Maxim Healthcare Services (Columbia, MD)
- Maxim Healthcare Corporate Services is currently seeking a Compliance Analyst II. The Compliance Analyst II must maintain a comprehensive understanding of ethical ... late timecards, patient loggings, reconciliations, etc. + Summarizes ad hoc audit findings and preliminary recommendations for management review + Prepares reports… more
- Trinity Health (Columbus, OH)
- …We're dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety ... of professional roles including information technology, financial analysis, audit , provider relations and more. **About the job:** Senior Decision Support Analyst… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Sharp HealthCare (San Diego, CA)
- …of the requested service. This position is responsible for conducting retrospective claims review for services to determine the medical appropriateness of the ... completion of Medical Assistant Program or equivalent. + 2 Years experience in healthcare with experience in medical codes, medical terminology, and data entry .… more