- UnitedHealth Group (Minnetonka, MN)
- …a place that will bring out the best in you! The Compliance Consultant will be responsible for managing regulatory audit activities across federal agencies. ... for driving best practices across the company to promote compliance with regulatory audit processes. The ... Medicare , Medicaid and some Commercial business. The Compliance Consultant will be primarily responsible for… more
- PwC (Columbus, OH)
- …professional and technical standards (eg refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements. The Opportunity ... Apart Master's Degree in Business Administration preferred Extensive knowledge of Medicare Advantage and Medicaid Proficiency in Stars programs and methodologies… more
- MyFlorida (Tallahassee, FL)
- 68064926 - SENIOR INFO TECH BUSINESS CONSULTANT / GRANT WRITER & COMMUNICATIONS Date: Nov 20, 2025 The State Personnel System is an E-Verify employer. For more ... Health Care Administration Working Title: 68064926 - SENIOR INFO TECH BUSINESS CONSULTANT / GRANT WRITER & COMMUNICATIONS Pay Plan: Career Service Position Number:… more
- OhioHealth (Columbus, OH)
- …and in our communities. **Job Description Summary:** The Senior Research Finance Consultant for OhioHealth Research Institute (OHRI) will manage the full life cycle ... and varied fiscal administrative support functions such as analyzing Medicare Coverage Analysis documents, developing comprehensive internal study budgets,… more
- WellSense (NH)
- …for our members, no matter their circumstances. **Job Summary:** The Provider Relations Consultant - NH will act as the primary liaison between Provider Relations ... Consultants and internal Plan departments such as Claims, Benefits, Audit , Member and Provider Enrollment and Clinical Services to effectively identify and resolve… more
- WellSense (MA)
- …between provider and internal Plan departments such as Provider Enrollment, Claims, Audit , Marketing, Customer Care and Care Management. **Our Investment in You:** . ... and administering contractual provisions of provider agreement to ensure contractual compliance ** + **Manages flow of information to and from provider offices**… more
- US Tech Solutions (May, OK)
- …to obtain additional information. + Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. + ... information into a clear and precise clinical picture while working independently.-Reports audit or clinical findings to appropriate staff or others in order to… more
- Stanford Health Care (Palo Alto, CA)
- …and policy governance process. + Prepares annual and ad hoc reports for the Audit and Compliance Committee of the hospitals' Board of Directors. + Develops ... is a Stanford Health Care job.** **A Brief Overview** Manages daily Compliance Program Management operational activities, key compliance initiatives, … more
- Community Wellness Partners (Oswego, NY)
- …collects and assesses information for the health and well-being resident in Medicare or Medicaid-certified beds. Complies with Federal and State requirements for all ... will assist with completing nursing assessments. 6. Ensure legal compliance for the facility by following the MDS Process....ARD 13. Maintains and develops on-going MDS schedule 14. Audit and analyze MDS data for accuracy 15. Works… more
- NHS Management, LLC (Athens, AL)
- …Specialist Consultants, Internal Auditor, or any other corporate or regulatory compliance consultant . Communicates progress toward goals and ongoing obstacles ... Specialist Consultants, Internal Auditor, or any other corporate or regulatory compliance consultant . Communicates progress toward goals and ongoing obstacles… more
