- CVS Health (Lansing, MI)
- …day. **Position Summary** The Senior Trainer who will support the Special Investigations team will design, develop, and deliver detailed curriculum and subsequent ... Coordinators the training and support and reviewing claims for potential acts of healthcare fraud and abuse by both members and providers. + Provides direction and… more
- CommonSpirit Health (Houston, TX)
- … experience in an acute setting to include at least one (1) year healthcare compliance experience, or similar experience in Quality, Regulatory, Risk, and/or ... level in support of Federal guidance regarding the elements of effective compliance programs and in accordance with the CommonSpirit Health Corporate Responsibility… more
- CVS Health (Lansing, MI)
- …2 years or more previous experience with medical record review within a healthcare insurance company. - Prior special investigation unit experience. - Excellent ... Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …activities. + Develops and maintains E&C's business guidance repository. + Assists Compliance Counsel and Investigation teams to develop enterprise compliance ... Experience with the PhRMA Code (or AdvaMed Code) on Interactions with Healthcare Professionals. + Demonstrated achievement enabling compliance with laws,… more
- Kiewit (Omaha, NE)
- …and procedures that are developing in the industry. * Familiarity with healthcare building systems, codes, and compliance requirements. * Become proficient ... than $30 million with a focus on medical and healthcare related project types. This role supports the development...coordinate home office legal department reviews * Conduct site investigation prior to forming a plan of operations to… more
- Novant Health (Charlotte, NC)
- …large team. + Excellent communication and interpersonal skills. + Knowledge of healthcare regulations and compliance standards. + Expert knowledge of ... support services. This leader will be pivotal in driving quality, compliance , and efficiency using transformative technology throughout the mid- revenue cycle.… more
- PeaceHealth (Springfield, OR)
- …public health or related field **Experience** + Minimum of 5 years Required: Healthcare risk management, compliance , quality improvement or patient safety and + ... and safety.** **Job Summary** The Senior Clinical Risk Manager leads the investigation and management of complex, high-severity risk events across the healthcare… more
- Corewell Health (Grand Rapids, MI)
- …- Healthcare Information & Management Systems, Certified (CPHIMS) + CRT - Healthcare Privacy Compliance , Certified (CHPC) About Corewell Health As a team ... the Privacy Analyst is to assist the Privacy Officer with the investigation , analysis and remediation of privacy incidents involving Corewell Health patients and/or… more
- Ankura (Los Angeles, CA)
- …to understand client needs and develop project work plans accordingly + Understands Healthcare Compliance concepts, issues, and how to research and access ... Health Care team is a recognized leader in health care disputes, compliance , and investigations . We combine unparalleled clinical, technical, and operational… more
- Vanderbilt University Medical Center (Nashville, TN)
- …of Leadership + Advanced Degree (MBA, MHA, JD) + CHPC - Certified in Healthcare Privacy Compliance or IAPP/US certification + Prior privacy program leadership ... Department Summary The Privacy Office is responsible for the oversight of HIPAA compliance for the Vanderbilt Affiliated Covered Entity. As VUMC continues to grow… more