• Compliance Auditor (clinical)

    Centene Corporation (Salem, OR)
    …a clinical field or equivalent experience. 4+ years of combined clinical and compliance or auditing experience in a healthcare environment. Familiarity with ... requirements. **(This is a remote position. 30 hours per week).** + Manage, audit , and monitor both internal and external vendors against CMS, contractual, Federal,… more
    Centene Corporation (08/08/25)
    - Related Jobs
  • Manager Medical Staff Services

    HCA Healthcare (Ogden, UT)
    **Description** **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and ... 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
    HCA Healthcare (07/01/25)
    - Related Jobs
  • Senior Director of Compliance & Privacy

    Mom's Meals (Ankeny, IA)
    …a Compliance Risk Assessment and corresponding Work Plan + Design and conduct Compliance audit program + Assess methods and procedures used to store and ... or other related field + 8+ years' experience in healthcare compliance , privacy, regulatory affairs or program... compliance hotline vendor software, Governance, Risk, and Compliance (GRC) software, or compliance audit more
    Mom's Meals (07/08/25)
    - Related Jobs
  • Mgr Compliance Monitoring & Auditing

    ManpowerGroup (Houston, TX)
    …/ management of quality programs Required- Bachelor's Degree Preferred- CCEP - Cert Compliance & Ethics Prof Healthcare Compliance Association Or CHC ... in developing an auditing and monitoring program. Develop comprehensive audit tools to objectively measure internal performance and performance...- Certified in Healthcare Compliance American Institute of Healthcare more
    ManpowerGroup (06/14/25)
    - Related Jobs
  • Risk & Compliance Analyst

    Highmark Health (Pittsburgh, PA)
    …stakeholders within task-based budgets.Collaborates with Information Security, Privacy, Procurement, Audit , Compliance , and other teams across the enterprise ... or related field **EXPERIENCE** **Required** + 1 year in Audit and Compliance To Include: + 1...control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes. + Knowledge of… more
    Highmark Health (07/24/25)
    - Related Jobs
  • Home Health Billing Compliance Auditor

    Elara Caring (Dallas, TX)
    …(1) conducting audits in accordance with internal policies and procedures and the annual compliance audit work plan; (2) ensuring accuracy of such audits; (3) ... Compliance Auditor by keeping a team of elite healthcare professionals operational. To continue to be an industry...job tasks You will report to the Director of Compliance Audit . _This is not a comprehensive… more
    Elara Caring (08/01/25)
    - Related Jobs
  • Senior Risk & Compliance Analyst

    Highmark Health (Pittsburgh, PA)
    …within task-based budgets.Collaborate and communicate with Information Security, Privacy, Procurement, Audit , Compliance , and other teams across the Enterprise ... or related field **EXPERIENCE** **Required** + 5 years in Audit and Compliance To Include: + 3...control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes. + Knowledge of… more
    Highmark Health (07/24/25)
    - Related Jobs
  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Albuquerque, NM)
    …and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, milestones and deliverables are ... met * Evaluate results from audit activities to address barriers, gaps, opportunities for improvement,...implement processes and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS)… more
    Molina Healthcare (07/25/25)
    - Related Jobs
  • Compliance Specialist

    Sanford Health (Sioux Falls, SD)
    …Constructor (CHC). Complete continuing education requirements as necessary. Certification in healthcare compliance is preferred but not mandatory. **Benefits** ... & Auditing * Mental Health Parity Oversight * External Audit Management * Vendor Oversight * Sales & Marketing...for other internal or external auditors; investigates and resolves compliance issues related to the healthcare environment.… more
    Sanford Health (07/31/25)
    - Related Jobs
  • Compliance and Privacy Specialist

    Delta Dental of Iowa (Johnston, IA)
    …role, you will help ensure regulatory compliance by maintaining audit -ready documentation, tracking issues, translating complex healthcare regulations into ... Work Plan and upholds organized, verifiable records to support audit readiness. + Analyze and interpret federal and state...work experience. + Minimum of 2 years' experience in healthcare compliance , privacy, or regulatory experience; or… more
    Delta Dental of Iowa (07/15/25)
    - Related Jobs