- 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
- Fresenius Medical Center (Baton Rouge, 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
- Truist (Raleigh, NC)
- …** 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
- Beth Israel Lahey Health (Woburn, MA)
- …data reporting and analysis skills. + Knowledge of commercial behavioral healthcare practices, evidenced-based treatments, managed care principles, provider ... with BILH Leadership, Shared Service Leadership (to include Finance, Billing, Legal, Compliance , IT, HR, and Communications) and BILH Medical Group to include… 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
- Sanofi Group (Swiftwater, PA)
- …PA **About the Job** At Sanofi, we're committed to providing the next-gen healthcare that patients and customers need. It's about harnessing data insights and ... than ever before. **Sanofi** (NYSE: SNY) is a leading global integrated healthcare company that discovers, develops, and distributes therapeutic solutions to improve… more
- Truecare Homecare Agency (Brooklyn, NY)
- …+ Standardize audit-ready processes across the agency to minimize risk of compliance issues. Qualifications + Bachelor's degree in Healthcare Administration, ... New York, Westchester, Long Island, and Colorado. Our focus is on compliance , compassion, and operational excellence as we serve diverse communities. The Operations… more
- Banner Health (Phoenix, AZ)
- …management of the health insurance plans and networks, ensuring service excellence, regulatory compliance , financial integrity, and strategic growth. This role ... member safety. Promotes collaboration and serves as a liaison to providers and members Regulatory Compliance 11. Maintains compliance with regulatory and… more
- Humana (Baton Rouge, LA)
- …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 ... thinking and authorship. Exercises independence in meeting enterprise expectations and compliance timelines. This is a full-time work from home opportunity.… more
- Humana (Concord, NH)
- …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 ... on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of… more