- Molina Healthcare (Oakland, CA)
- …within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including ... The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare 's UM delegates are compliant all applicable State, CMS, and NCQA… more
- Globus Medical, Inc. (Audubon, PA)
- …standards. + Compliance resource for all HCP travel related issues and questions. + Compliance Audit & Monitoring + Assist the Director of Compliance in ... requirements. Familiarity with MedCompli, MediSpend and Concur sought. + Audit HCP transfers of value to ensure accurate reporting...Bachelor's degree combined with at least 4 years of healthcare compliance experience with a medical device… more
- Humana (Richmond, VA)
- …Virginia.** + Bachelor's degree or three (3) years of professional experience in quality compliance or quality improvement in healthcare . + One (1) or more years ... put health first** Humana Healthy Horizons in Virginia is seeking Quality Compliance Professionals who will be responsible for conducting audits and assessments to… more
- Integra LifeSciences (Cincinnati, OH)
- …Representative in absence of QA Director. + Backroom Leader during site audit /inspections. Alternate Front Room Leader. + Other QA/ Compliance activities as ... work that creates change and shapes the future of healthcare . Thinking differently is what we do best. To...outcomes and set new standards of care. The **Quality Compliance Manager** will have a key leadership role ensuring… more
- Trinity Health (Livonia, MI)
- …Relations, Legal, HR Operations/Shared Services, or HR Business Partner, Internal Audit , or compliance -related field required. + Excellent analytical, ... inclusive of titles or advancement career progression) Manages a team of HR compliance specialists and leads HR compliance -related projects and initiatives. *… more
- Medtronic (Los Angeles, CA)
- …Governance** **:** + Serve as an advisor to the CEO, executive team, and Board Audit Committee on compliance and risk matters. + Prepare and deliver regular ... life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with...effective whistleblower and reporting mechanism. + Partner with internal audit and legal teams to manage compliance … more
- Hartford HealthCare (Farmington, CT)
- Work where*every moment*matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every ... matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work… more
- Molina Healthcare (Provo, UT)
- …our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role ... Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim...+ Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act… more
- Carrington (Lansing, MI)
- …procedural documents into a complete loan "servicing file" to respond to regulatory compliance audit /exams + Perform assigned compliance testing as assigned ... Analyst I will be responsible for the provisioning documentation for various audit and exam documentation. Also responsible for compliance testing and… more
- Amazon (New York, NY)
- …as a business enabler? Amazon Web Services (AWS) is looking for a highly motivated Compliance Program Manager to join our audit team in AWS Security Assurance to ... for AWS customers. You should be a technically experienced and innovative security, compliance , or audit professional who has the ability to understand IT… more