- Prime Healthcare (Ontario, CA)
- …new members to join our corporate team! Responsibilities The Revenue Integrity Compliance Manager is a highly motivated and detail-oriented. This role leads and ... oversees the organization's Revenue Integrity and Charge Description Master (CDM) compliance initiatives. This role is pivotal in ensuring adherence to the CMS Price… more
- State of Georgia (Fulton County, GA)
- Compliance and Reporting Analyst (State Based Exchange) Georgia - Fulton - Atlanta ... Share this Job Sign Up for Job Alerts Under general supervision, the Compliance and Reporting Analyst coordinates the rollout of new or updated reporting… more
- Centene Corporation (New York, NY)
- …changes everything for our 28 million members. **Position Purpose:** Ensure regulatory compliance with state and other government agencies related to the health ... subsidiaries. + Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory… more
- Baylor Scott & White Health (Madison, WI)
- JOB SUMMARY The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... established policies and procedures in compliance with federal, state, and local laws and regulations..... Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Lead Formulary Compliance Analyst - Parsippany, NJ (Hybrid) Date: Sep 2, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... purpose of the position is to identify and resolve compliance and eligibility issues with contracted managed care customers....the top 80% of contracted account formularies across Commercial, Medicare Part D, and Managed Medicaid channels + Review… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Financial Compliance Audit, $10,000 SIGN ON BONUS Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 ... the safety net required to achieve that purpose. Job Summary Manager, Financial Compliance Audit (Finance) has a $10,000 SIGN-ON BONUS. This role is responsible for… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 07/28/2025 **Requisition Number** PRN42631B **Job Title** Compliance Specialist **Working Title** Compliance Specialist **Career ... - Posting may close at any time)** **Job Summary** The position assists with ensuring compliance related to the NIH Public Access Policy for the U of U. The position… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The **Physician Practice Compliance Specialist** is responsible for assuring on-going compliance by actively ... for Hackensack Meridian Health and for affiliated services. The Physician Prac Compliance Spec assures the integrity of the physician practice regulatory environment… more
- City of New York (New York, NY)
- …of the City of New York City ("FDNY") has established a Medical Billing Compliance Program to ensure that its employees and agents, either through an employment ... for ambulance services to patients, private insurance companies, and Medicare . In addition, this program is intended to apply...to fill a position within its EMS Medical Billing Compliance Unit. Under the direction of the Internal Audit… more
- Centene Corporation (Tallahassee, FL)
- …in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the auditing and monitoring ... with business areas to ensure effective prevention, detection, and correction of compliance issues. Facilitates and leads external audits related to Risk Adjustment… more