- Emory Healthcare/Emory University (Atlanta, GA)
- …The Chief Counsel for Health Affairs (CCHA) will oversee all legal matters for Emory Healthcare . They also will serve as the primary legal advisor to the CEO, senior ... and collaborate with clients and external parties to accomplish Emory Healthcare 's objectives. The successful candidate will be an accomplished, mission-driven, and… more
- Molina Healthcare (Buffalo, NY)
- …or more direct report supervisors, facilitates integrated, proactive management, ensuring compliance with state and federal regulatory and accrediting standards. ... Education** Associate's or Bachelor's Degree **Preferred Experience** 3+ years of healthcare or health plan supervisory experience. Managed Care operations… more
- BlackRock (New York, NY)
- …be able to effectively manage compliance risk and help ensure compliance with regulatory requirements and applicable BlackRock policies and procedures ... for new product development and implementation of new regulations + Implement compliance programs/control frameworks relevant to regulatory risks and legal… more
- Centene Corporation (Jefferson City, MO)
- …compliance issues with Medicaid, Medicare, Marketplace, and Commercial regulatory requirements, contractual obligations, and Company policies and procedures. ... Public Health, or Health Administration or related field preferred: + 4+ years Compliance experience, preferable in healthcare environment required + 1+ years… more
- Commonwealth Care Alliance (Boston, MA)
- …and enhance the risk adjustment data ecosystem. + Support audit readiness and regulatory compliance for Medicare and Medicaid risk adjustment programs. + ... + 5+ years of experience in data development or engineering within a healthcare or managed care environment. **Desired Experience (nice to have):** **Required… more
- Kelly Services (Summit, NJ)
- **Quality & Compliance Specialist** Kelly Outsourcing Consulting Group Kelly OCG, a managed solution provider and business unit of Kelly Services, Inc., is ... currently seeking a **Quality & Compliance Specialist** for a long-term engagement at one of...according to the Company Development Plan, established procedures, and regulatory requirements + Partners with Product Development, Technical Transfer… more
- Guidehouse (New York, NY)
- **Job Family** **:** Risk & Regulatory Compliance Consulting **Travel Required** **:** Up to 50% **Clearance Required** **:** None **What You Will Do:** ... consulting firm serving the public and commercial markets in financial services, healthcare , sustainability, and national defense. Our mission is to help clients… more
- Molina Healthcare (Kenosha, WI)
- …that would affect job performance. **Preferred Experience** + 5 years in the healthcare industry, managed care organization or equivalent experience. + Knowledge ... team, assisting the team in understanding pharmacy quality, cost effectiveness and compliance and working closely with the Pharmacy Director or AVP to ensure… more
- Genesis Healthcare (Norfolk, VA)
- …of equipment, billing, and payroll within budgetary guidelines and business needs. Ensures compliance with all CAP/CLIA and other regulatory agency standards. 2. ... rehabilitation and quality assurance. 10. Establishes communication networks with Managed Care Caseworkers to assure approved appropriate care, effective… more
- BJC HealthCare (St. Louis, MO)
- …with health care team members to provide patient care. Ensures team compliance with departmental policies, regulatory requirements and professional standards; ... skills Full Time; beneift eligible position. Schedule is flexible. **Overview** **BJC HealthCare ** is one of the largest nonprofit health care organizations in the… more