- Fresenius Medical Center (Alexandria, LA)
- …and activities of dialysis facilities and programs in an assigned area ensuring compliance with established company and regulatory guidelines and procedures in ... containment strategies, maintaining profitability and growth of area while ensuring compliance with all pertinent company policies and regulatory requirements.… more
- LA Care Health Plan (Los Angeles, CA)
- …units in audit universe preparation and validation. Assists in document preparation for regulatory and internal audits. Regulatory compliance : Works closely ... and monitoring of the guidelines and protocols to ensure readiness for all regulatory audits. This position will develop, with the assistance of CSC management, a… more
- Sanofi Group (Boston, MA)
- …+ Creative problem solver and solutions oriented. + Must achieve and maintain compliance with all applicable regulatory , legal, and operational rules and ... and life-saving advances in medicine. Sanofi, an integrated global healthcare leader, discovers, develops, and distributes therapeutic solutions focused on… more
- Corewell Health (Grand Rapids, MI)
- …and external customers. The successful candidate will understand the nuances of managed care contracting, analytics, managed care payers, delivery system's ... to engage senior leaders. The candidate will also understand the latest healthcare trends and leverage their past years of experience to creatively design… more
- Humana (Salem, OR)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
- Corewell Health (Grand Rapids, MI)
- …abuse experience or equivalent combination of; auditing, healthcare fraud and abuse, compliance , or regulatory (ie, CMS & Medicaid) experience Required + 5 ... SIU team, ensuring the effective execution of investigative strategies and compliance with regulatory requirements.Key responsibilities include managing vendor… more
- AmeriHealth Caritas (Detroit, MI)
- …federal managed health care requirements + 3 to 5 years in a managed care-related or healthcare industry + Proven experience with contract management tools ... (ie, we use Contract Manager, Emptpros) + Proficiency in researching regulatory requirements and managed care industry best practices **Skills & Abilities;** +… more
- Fallon Health (Worcester, MA)
- …contracts and problem resolution and corrective action plans. Key interface between Fallon Health Regulatory Compliance and healthcare vendor and to ensure ... Conduct vendor delegation audits and meetings to review vendor performance linked to regulatory compliance and contractual obligation Main point of contact for… more
- Truist (Dallas, TX)
- …** Compliance and Regulatory Knowledge:** In-depth understanding of compliance in regulated industries (eg, financial services, healthcare ). Experience ... Planning & Governance:** Define and implement observability governance frameworks, ensuring compliance with regulatory requirements (eg, FFIEC, OCC, Basel III,… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …, Risk Management and Privileging + Ensures medical services are in compliance with all applicable regulatory and licensing agencies. Provides guidance ... guidance on credentialing and privileging of Clinical Services staff. + Oversees compliance with all local, state, and federal healthcare regulations and… more