- Banner Health (Mesa, AZ)
- …of information inquiries to appropriate team members for processing, ensuring all regulatory and compliance standards are met. Monitors record actively for ... well as other administrative duties as needed. To be successful as a Healthcare Scheduling Coordinator you must be able to communicate well and provide extraordinary… more
- Molina Healthcare (Ann Arbor, MI)
- …groups. * 3+ years experience in provider contract negotiations in a managed healthcare setting **PREFERRED EXPERIENCE** : Knowledge of integrated delivery ... Health, Home Health, Hospice, Dialysis, Home and Community based providers. Ensure compliance with Corporate standards and regulatory requirements and review… more
- Molina Healthcare (Sioux City, IA)
- …the Delegation Oversight Department. Oversees delegated activities to ensure compliance requirements including delegation standards and requirements contained in the ... Molina Medical Compliance and Fraud, Waste and Abuse Program. **KNOWLEDGE/SKILLS/ABILITIES** +...of education and experience. **Required Experience** + 3+ years managed care experience. + Min. 1 year experience completing… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …of all regulations and standards that apply to billing and collections; monitors compliance with regulatory agencies and third party payers; determines impact of ... **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel...for staff and physicians to solve revenue cycle and compliance problems. + Oversees assigned revenue cycle functions including… more
- HCA Healthcare (Nashville, TN)
- …One of the nation's leading provider of healthcare services, HCA Healthcare is made up of locally managed facilities that include approximately ... in the process. + Stays abreast of general industry, regulatory and economic developments and applies their understanding to... compliance + Clinical documentation improvement (CDI) process compliance HCA Healthcare has been recognized as… more
- Jostens (Minneapolis, MN)
- …GRC program, overseeing policy management, security risk processes, third-party risk, and compliance with critical regulatory frameworks such as PCI DSS, SOX ... SENIOR MANAGER, GOVERNANCE, RISK & COMPLIANCE (GRC) HYBRID POSITION | ONSITE THREE DAYS...Drive Cybersecurity Strategy. Align security initiatives with organizational objectives, regulatory requirements, and executive priorities. + Manage the Risk… more
- Molina Healthcare (Salt Lake City, UT)
- … Healthcare or related field. **Preferred Experience** 2+ years compliance related experience. 1+ years in Medicare. **Preferred License, Certification, ... government contracts activities including maintenance of state correspondence and regulatory databases, communication of deliverables/submission between staff and governmental… more
- Molina Healthcare (Warren, MI)
- …Works with Legal and Corporate as needed to modify templates to ensure compliance with all contractual and/or regulatory requirements. + Oversees plan-specific ... or related field. **Required Experience** + 10+ years progressive experience in Healthcare Administration, Managed Care and/or Provider Services. + Experience… more
- Molina Healthcare (Owensboro, KY)
- …other Molina departments as needed + Writes narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings ... combination of education and work experience + 1-3 years' experience in healthcare with 1-year experience in health plan quality member interventions, managed… more
- Molina Healthcare (Madison, WI)
- …execute comprehensive Medicare strategies aligned with enterprise goals and regulatory requirements. + Design and implement state-specific and product-specific ... and retention. + Analyze market trends, competitive intelligence, and regulatory changes to inform strategic decisions. + Lead high-priority, cross-functional… more