- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring ... healthcare people throughout Los Angeles and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care … more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Managed Care Specialist Job Summary Handles credentialing and enrollment processes for healthcare providers and facilities. This role is critical to the ... of Western Kentucky Healthcare System (WKHS) and the Jennie Stuart Health Managed Care Department, supporting accurate provider setup and alignment with… more
- MSC Industrial Supply Co. (Twentynine Palms, CA)
- …Location :** 29 Palms Marine Base **BRIEF POSITION SUMMARY:** The Vendor Managed Inventory (VMI) Specialist ensures customer satisfaction through solutions by ... MSC customer solutions and sales associates through execution of CARE program. + CARE is defined as...incremental solution growth. + Lead focus of 100% safety compliance for VMIS team + Repair and maintain vending… more
- MSC Industrial Supply Co. (Savannah, GA)
- …**Work Location** : Savannah, GA **BRIEF POSITION SUMMARY** The Vendor Managed Inventory (VMI) Specialist ensures customer satisfaction through solutions ... MSC customer solutions and sales associates through execution of CARE program. CARE is defined as Clean, Arrange,...incremental solution growth. + Lead focus of 100% safety compliance for VMIS team + Repair and maintain vending… more
- MSC Industrial Supply Co. (Binghamton, NY)
- …**Work Location : Binghamton, NY-** - **BRIEF POSITION SUMMARY:** The Vendor Managed Inventory (VMI) Specialist ensures customer satisfaction through solutions ... collaborate with MSC customer solutions and sales associates through the CARE program (Clean, Arrange, Relationships, Exceed Expectations). + Maintain 6S appearance… more
- Access Dubuque (Dubuque, IA)
- Healthcare Compliance Specialist **Hillcrest Family Services** 1 Positions ID: 554109068 Posted On 09/24/2025 Refreshed On 11/25/2025 **Job Overview** ... **Responsibilities** The ** Compliance Specialist ** is responsible for ensuring that... activities, ensuring confidentiality. + Ensure all documentation is managed in accordance with regulatory requirements. + Other duties… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II, D-SNP Team (12...care professionals in a hospital, medical group or managed care setting, such as a health insurance ... net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills...systems. Knowledge of and ability to comply with HIPAA compliance . Ability to interview, assess and coordinate care… more
- Ventura County (Ventura, CA)
- …the compliance office. Experienced in leading and training staff on Managed Care , Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure ... billing and supervises or conducts training on the specific areas of Managed Care /Medicaid/Medi-Cal/Medicare and/or Commercial Insurance; + Works with the… more
- Centene Corporation (Jefferson City, MO)
- …regulations preferred + 1+ years experience in State Medicaid or Federal managed care compliance preferred **Licenses/Certifications:** Certified in ... Complies with all policies and standards. **Education/Experience:** + Bachelor's Degree Managed Care /Health Insurance or related field; or equivalent experience… more
- Molina Healthcare (Rockford, IL)
- …in healthcare with minimum 2 years' experience in health plan quality improvement, managed care or equivalent experience. + Demonstrated solid business writing ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality… more