• Senior Quality Analyst, Claims *Remote

    Providence (WA)
    **Description** **Providence is one of the nation's leading non-profit healthcare systems with 119,000+ caregivers/employees serving more than 5 million unique ... New Mexico, Oregon, Texas, and Washington. As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives… more
    Providence (08/01/25)
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  • CMO

    UnityPoint Health (Waterloo, IA)
    …reflects knowledge of HIPAA, TJC, DNV, DIA, OSHA and other federal/state/county regulatory agencies guiding healthcare . + Responsible for consistent important ... Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare + Completes all annual education and… more
    UnityPoint Health (07/29/25)
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  • Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …Program Integrity (MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in ... candidate selected for this position is responsible for providing compliance oversight of the Managed Care Plans...*Two years of professional or nonprofessional experience in a regulatory or health service setting. *An associate's degree from… more
    MyFlorida (07/25/25)
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  • Manager Revenue Cycle - Self-pay Collections

    Houston Methodist (Katy, TX)
    compliance with ethical and legal business practices and accreditation/ regulatory / government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Performs management ... Access Services, and Utilization Review as needed to ensure operational billing compliance with government/ regulatory agencies and the Medicare and Medicaid… more
    Houston Methodist (07/31/25)
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  • Senior Statistician - NV

    Medtronic (Minneapolis, MN)
    …preparation and presentation + Experience in Good Clinical Practice (GCP) and/or regulatory compliance guidelines for clinical trials and medical devices (eg, ... life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with...treatment. Together, we are changing the way stroke is managed worldwide, making a lasting difference for the millions… more
    Medtronic (07/29/25)
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  • Credentialing Program Manager

    OhioHealth (Marion, OH)
    …that expire such as state license, board certification, ACLS, etc. to ensure compliance with accreditation and regulatory standards as well as medical staff ... (Required) **Additional Job Description:** **degree and two years' experience in the healthcare , managed care, credentialing or medical staff services field or… more
    OhioHealth (07/02/25)
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  • Quality Improvement Specialist

    Banner Health (Mesa, AZ)
    …resulting from patient safety, harm reduction, clinical performance, peer review and compliance with regulatory and accrediting agencies. This is accomplished by ... your passion for quality patient care that supports Our Nonprofit Mission "Making healthcare easier, so life can be better." This Mission statement drives the… more
    Banner Health (07/24/25)
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  • Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …to providing patients with a full range of services to meet their healthcare needs. We provide our services in a caring, professional environment through the ... staff and employees. Rutherford Regional Health System's partnership with Duke LifePoint Healthcare is bringing the pieces together to transform healthcare in… more
    LifePoint Health (06/09/25)
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  • Region Manager Contracts Payer Strategy…

    CommonSpirit Health (Phoenix, AZ)
    …and Certifications** If applicable, additional certification(s), demonstrating industry knowledge in regulatory updates and their application to managed care ... for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational… more
    CommonSpirit Health (06/21/25)
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  • Director of Medical Staff Services, Days, Medical…

    Howard University Hospital (Washington, DC)
    …maintain a comprehensive credentialing database and prepares reports and summaries. Oversees regulatory compliance for all Medical Staff aspects of TJC, NCQA, ... Medical Staff Rules and Regulations and Credentials Manuals while ensuring regulatory compliance . Provides delegated credentialing services for the Adventist… more
    Howard University Hospital (06/14/25)
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