- CVS Health (Raleigh, NC)
- …Database audits + Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to ... of assigned work to track progress and manage towards business objectives and compliance due dates. + Must exhibit leadership qualities, strong written and oral… more
- ICF (Reston, VA)
- …that will be assigned to one of our projects for the Centers for Medicare and Medicaid Services. You will work to align user needs to business goals and to drive UX ... of WCAG 2.0 Level AA / Section 508 and Plain Language Act compliance preferred. + Experience supporting localization and translation efforts. ** Professional … more
- Molina Healthcare (Dayton, OH)
- …milestones to stakeholders and leadership. + Ensures quality standards and compliance with company policies. + Facilitates meetings, workshops, and presentations. + ... IT to ensure Health Plan requirements and timelines are met + Understands Medicaid and Medicare business scenarios and appreciates the member environments we serve +… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Grady Health System. Fellows must be eligible at participants in Medicare, Medicaid and other third-party payers contracted with Emory Healthcare and Grady Health ... given in the ED during their shift + Maintain professional skills and an appropriate fund of knowledge through...the Emory University Department of Equity and Civil Rights Compliance , 201 Dowman Drive, Administration Building, Atlanta, GA 30322.… more
- Option Care Health (Bannockburn, IL)
- …to summarize and communicate complex findings effectively. Reporting to the Senior Manager, Compliance Auditing, Monitoring and Analytics, this individual ... Medicaid reimbursement. + Experience evaluating information to determine compliance with policies, standards, laws, and regulations. + Intermediate level… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... present detailed analysis of audits in both written and spoken form. Relies on professional judgement to ensure Internal Audit and Compliance standards are used… more
- CenterWell (Frankfort, KY)
- …State Department of Health, Federal, and local agencies. + Oversee and manage Medicaid and Medicare enrollment, renewal, and compliance activities. + Track ... seeking a detail-oriented and experienced Home Health Facility Licensure & Regulatory Compliance Analyst to join our team. The successful candidate will oversee… more
- Texas Health Resources (Arlington, TX)
- …team, coding staff, and other relevant departments on regulatory requirements (CMS/ Medicaid ) and payer guidelines, ensuring compliance with evolving policies. ... Manager Compliance Coding _Are you looking for a rewarding...- Prepare detailed audit reports and present findings to senior leadership, Texas Health management, and relevant committees, ensuring… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …initiatives, and ensuring program effectiveness. - Preparing detailed reports on compliance activities and effectiveness to senior leadership. Incumbent conducts ... Compliance Office (ICO) program implementation, reviews periodic reports with senior management detailing compliance initiatives throughout the year,… more
- Humana (Springfield, IL)
- …us put health first** Job Description Summary The Community Management Professional builds visibility and credibility of the organization's products and services ... of the Community Engagement Team for the Humana Illinois Medicaid Market by working collaboratively with the Health Equity,...Spanish and English + Ability to communicate effectively to senior leadership, team members, and with the community +… more