- University of Utah (Salt Lake City, UT)
- Details **Open Date** 09/12/2025 **Requisition Number** PRN43093B **Job Title** Compliance Officer **Working Title** Compliance Officer **Career Progression ... U of U Health - Academics **Department** 01663 - COMPLIANCE SERVICES **Location** Campus **City** Salt Lake City, UT...medical auditing, Federal healthcare program policies and requirements (including Medicare Parts A and B), and ICD -10, CPT… more
- Humana (Richmond, VA)
- …put health first** Humana Healthy Horizons in Virginia is seeking Quality Compliance Professionals who will be responsible for conducting audits and assessments to ... supports continuous improvement efforts by identifying areas of risk or non- compliance and recommending corrective actions. The Quality Compliance Professional… more
- Baylor Scott & White Health (Dallas, TX)
- …may vary based on position type and/or level **Job Summary** VP Coverage Compliance is responsible for planning, developing, and enforcing compliance programs ... (QA), collectively known as the "Coverage" system. This includes Health Plan and QA compliance and in partnership with the system to provide compliance hotline… more
- Prime Therapeutics (Des Moines, IA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The ... Compliance Principal is responsible for supporting Oversight and Monitoring...or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- ZoomCare (Tigard, OR)
- …CPT, HCPCS, and ICD-10 code assignment for professional medical services + Monitor compliance with Center of Medicare and Medicaid, AMA, and commercial payer ... expertise in professional coding practices. + Strong understanding of Medicare billing guidelines, documentation standards, and compliance regulations,… more
- Humana (Indianapolis, IN)
- …part of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to ... and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse 2 work assignments are varied and frequently require interpretation and… more
- MVP Health Care (Rochester, NY)
- …and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare , Medicaid, and any corporate compliance initiatives or policies. ... you have a passion for problem solving and investigations, commitment to compliance and ethical standards and dedication to continuous learning and improvement.… more
- Jet Health (Englewood, CO)
- …program to ensure accuracy and regulatory fulfillment of timely documentation. + Compliance :Focus on Medicare Quality Measures and other industry standards to ... ensure compliance . + Staffing:Ensure that staffing ratios are sound, and...skills. + Comprehensive knowledge of home health regulations and compliance standards. + Excellent communication and interpersonal skills. +… more
- Sanofi Group (Morristown, NJ)
- …pricing team responsible for executing all government pricing calculations in full compliance with all Medicaid, Medicare and VA Healthcare Act regulations. ... calculation, analysis, and reporting of all government pricing programs in compliance with applicable laws and regulations. Maintaining timely and accurate… more
- University of Pennsylvania (Philadelphia, PA)
- …rates. + Work with the Unit Manager to conduct monitoring of research finance compliance with the Medicare Clinical Trial Policy, including review of key ... and supplemental industry-sponsored clinical research proposals in Penn-ERA to ensure compliance with PSOM overhead policy. + Process Research Billing Numbers,… more