- Cardinal Health (San Juan, PR)
- …E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles and techniques; ... and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is expected of you and others at this… more
- Staffing Solutions Organization (Albany, NY)
- …NY** **Division of Eligibility & Marketplace Integration (DEMI)** **Bureau of Program Compliance and Audit ** **50% Onsite 50% Remote** **Duties:** The Bureau ... of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany,...of Program Compliance and Audit is seeking a highly… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …within the first 12 months of employment. + 7 years of experience in Healthcare Compliance , including expertise in audit and monitoring processes and ... internal policies. The Sr Manager is responsible for overseeing the organization's compliance audit and investigation functions. The role involves leading audits… more
- Molina Healthcare (Grand Island, NE)
- …+ Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes or healthcare compliance requirements **Ideal Candidate ... Data Validation) team, assisting in the execution of CMS and internal audit activities. This position contributes to the development of chart retrieval chase… more
- Ochsner Health (New Orleans, LA)
- …coding, auditing, utilization management, or billing, _OR_ 6 years of experience in healthcare audit , compliance , or coding with a bachelor's degree ... ensures development of corrective action plans. + Independently manages the regulatory compliance audit appeals process. + Coordinates the development and… more
- Commonwealth Care Alliance (Boston, MA)
- …field preferred. Required Experience (must have): * 5+ years in healthcare compliance , regulatory affairs, or claims audit . * Experience working with TPA ... Sr. Specialist II is responsible for ensuring CCA's operational compliance with state and federal healthcare regulations,...and retrospective reviews to identify areas of risk or non- compliance . * Track internal audit findings and… more
- CVS Health (Nashville, TN)
- …experience in relevant fields such as PBM, managed care, healthcare , market conduct exams, compliance , or audit . + Ability to travel up to 40% by car and ... to travel up to 40% **Position Summary** The Manager, Compliance COE will be a key member of the... COE will be a key member of the Compliance Monitoring team and will lead the execution of… more
- HCA Healthcare (Nashville, TN)
- …Introduction Do you want to join an organization that invests in you as a IT Audit Senior? At HCA Healthcare , you come first. HCA Healthcare has committed ... effective healthcare in the communities we serve. The Internal Audit Department provides an independent appraisal function to validate management control systems… more
- Grant Thornton (Los Angeles, CA)
- …risk management programs, and/or entity-level and business process controls for Internal Audit , or other risk management, compliance , and assurance activities + ... As a Healthcare Process Risk Senior Associate, you will get...in both proactive and responsive contexts for the Risk, Compliance & Controls Practice - all with the resources,… more
- AbbVie (North Chicago, IL)
- …LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description AbbVie's Global Internal Audit function plays a critical role in protecting and enhancing the ... advisory services to internal stakeholders, senior management, and our Audit Committee of the Board. Internal Audit ...a dynamic and collaborative team culture. The scope of compliance audits may include, but is not limited to,… more
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