• ACH Payments Investigation Sr. Associate

    US Bank (St. Paul, MN)
    …process improvements to enhance operational efficiency. + Maintain compliance with corporate timeframes and regulatory requirements. **Basic Qualifications** ... include the following (some may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional term life insurance +… more
    US Bank (09/18/25)
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  • Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (Nampa, ID)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation , ... review. The position may also work with other internal departments, including Compliance , Corporate Legal Counsel, and Medical Officers in order to achieve and… more
    Molina Healthcare (09/22/25)
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  • Medical Certification Specialist 1 - 2 (Field…

    Louisiana Department of State Civil Service (LA)
    …Job Duties: + Conduct on-site surveys and complaint investigations of healthcare facilities to determine compliance with state and federal regulations, ... seeking Medical Certification Specialists 1-2 to help ensure the quality, safety, and compliance of healthcare across our state. The Health Standards Section… more
    Louisiana Department of State Civil Service (08/30/25)
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  • Director, Compliance (Must reside…

    Molina Healthcare (Columbus, OH)
    …to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations . ... **Job Description** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and… more
    Molina Healthcare (09/10/25)
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  • Senior Investigator Healthcare Fraud…

    CareFirst (Baltimore, MD)
    …+ Independently or as lead in part of an assigned team develop and conduct healthcare fraud, waste, and abuse investigations of all levels (low to complex). ... State/Federal criminal statutes and criminal and civil law impacting insurance fraud/abuse investigations to preserve the integrity of the investigation and to… more
    CareFirst (09/20/25)
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  • Director Ethics and Compliance

    HCA Healthcare (Savannah, GA)
    …and Compliance ** provides guidance to the hospital and other healthcare entities regarding established HCA corporate-wide compliance program, policies and ... and other communications. Other duties include performing periodic audits to ensure compliance , and conducting investigations resulting from internal and Ethics… more
    HCA Healthcare (07/30/25)
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  • Nursing Director - MedSurg

    Community Health Systems (Clarksville, TN)
    …This role provides strategic direction, oversees departmental operations, and ensures compliance with healthcare regulations and organizational objectives. The ... meeting patient care needs and maintaining high standards of service. + Ensures compliance with local, state, and federal healthcare regulations, as well as… more
    Community Health Systems (09/23/25)
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  • Warehouse Manager (Bilingual)

    Adecco US, Inc. (Jacksonville, FL)
    …. The company also specializes in handling **medical devices and sensitive healthcare cargo** , ensuring compliance with **GDP (Good Distribution Practices)** ... ideal candidate will drive **operational efficiency, KPI performance, safety compliance , and risk mitigation** while fostering a **collaborative, high-performing… more
    Adecco US, Inc. (09/03/25)
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  • Medicare Compliance Manager (Medicare…

    Molina Healthcare (ID)
    …to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations . ... **Job Description** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and… more
    Molina Healthcare (07/25/25)
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  • Sr. Compliance Coordinator-Billing & Coding

    BJC HealthCare (St. Louis, MO)
    …**BJC Medical Group** is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who ... the health and well-being of the communities we serve. The Quality and Compliance Department provides support to the strategic and operational objectives of BJC… more
    BJC HealthCare (07/09/25)
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