- Meriter-UnityPoint Health (Madison, WI)
- …Code:53715Compensation:Starting $21.20+ commensurate with experience.Job Title: Accreditation and Regulatory Compliance Auditor ; 0.8FTE; Day ShiftSite ... Accreditation and Regulatory Specialist, The Accreditation and Regulatory Auditor will...medical record audits, site inspections and tracers to assure compliance with DNV regulatory standards as well… more
- LA Care Health Plan (Los Angeles, CA)
- …perform Utilization Management (UM) functions on behalf of LA Care (LAC) is in compliance with all UM regulatory requirements and new legislation through the ... Policies/Procedures, Letter Templates, Workflows, Processes, and Audit Tools in compliance with all regulatory requirements/new legislation. Works… more
- Sevita (Baltimore, MD)
- …for the people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations and Revenue Cycle ... open items, ensuring controls are in place to successfully mitigate business and regulatory compliance risks. + Completes special projects and reports as needed… more
- Somatus (Mclean, VA)
- …Monitor and analyze processes and outcomes to ensure Somatus goals, objectives, accreditation , and regulatory requirements are met. + Support quality improvement ... and mental well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a diverse workload in a fast- paced,… more
- Trinity Health (Silver Spring, MD)
- …description master (CDM) methodology and pricing models to ensure accuracy and regulatory compliance . + Reports to the Manager, Provider Revenue Operations ... **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Coding Auditor and Educator (Remote) **Employment Type:** Full-Time **Shift:** Days… more
- Office of the Inspector General, USPS (Denver, CO)
- …Inspector General (USPS OIG) is seeking qualified applicants to fill our Auditor positions within the Office of Audit's Delivery and Network Processing Directorates. ... and operations, including assessments of efficiency, adequacy of internal controls; compliance with laws, regulations, policies, and/or contracts; and detection of… more
- Houston Methodist (Austin, TX)
- …encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This ... At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in...electronic encoder application in accordance with hospital policy and regulatory body guidelines. + Performs accurate, optimal DRG and… more
- Centene Corporation (Raleigh, NC)
- …and management process and recommend improvements for provider groups to meet regulatory compliance standards. + Ensure the validation and integrity of ... to meet regulatory and accreditations standards. + Develop and implement compliance auditing and monitoring strategies for provider groups. + Conduct root cause… more
- Fallon Health (Worcester, MA)
- …summary of purpose:** This position is responsible for ensuring Fallon Health's (FH) accreditation of and compliance with regulatory and compliance ... serves as the project manager to organize and manage projects related to regulatory , compliance , or accreditation requirements including obtaining and… more
- Eurofins (Centennial, CO)
- …and GHA Regulations, policies and expectations relate to Eurofins DPT's GMP compliance . + Identify applicable international Regulatory or QMS related changes, ... Willing to travel to satellite locations for quality support, quality audits and regulatory inspections (≤25% travel) + Quality Auditor certification (ASQ or… more
- Highmark Health (Pittsburgh, PA)
- …global team of specialists. Identify, develop, coordinate, and implement legislative, regulatory , sub- regulatory , and licensing / accreditation ... + Standardize, expand, and centralize the identification and ingestion of legislative, regulatory , sub- regulatory , and licensing / accreditation requirements… more
- Molina Healthcare (Ohio City, OH)
- …License (RN may be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are ... measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.… more
- Molina Healthcare (CA)
- …+ Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **Only… more
- Element Materials Technology (Acton, MA)
- …50001, etc.) + Competence in understanding and suitably applying applicable legal and regulatory compliance obligations within the scope of EMS/OHS + Technical ... This role carries strategic, budget, personnel, business development, operational, accreditation , industry-facing, and client-related responsibilities. The Business Unit Manager… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA's annual privacy & security compliance workplan. + Collaborates with CCA's regulatory compliance team and the CISO to respond quickly, effectively, and ... information as required by law, regulation, and contract, and, as necessary, with CCA's Regulatory Compliance team to report any and all necessary data to… more
- Baylor Scott & White Health (Dallas, TX)
- …improve the efficiency and effectiveness of BSWH operations. Ensures accuracy and compliance to all applicable laws, regulations, and accreditation standards, ... internal control concepts, principles, and techniques. - Knowledge of healthcare compliance practices and regulatory requirements preferred. - Excellent written… more
- Tutor Perini (New York, NY)
- …Manager In Training (CMIT) Accreditation since 2015, ISO 9001 Lead Auditor Accreditation since 2022, ACI Concrete Field-Testing Technician Accreditation , ... + Act as a resource for field operations with compliance on Federal and State regulatory requirements as well as local quality regulations including: ADA,… more
- Houston Methodist (Houston, TX)
- …in the planning process and in the assessment of new technology, assuring regulatory compliance in the medical technology management area, leading investigation ... of the organization's patient care medical equipment program. Ensuring full compliance with all manufacturers, regulatory , institutional, and departmental… more
- Leidos (Fort Meade, MD)
- …+ Certified Information Systems Security Professional (CISSP), Certified Information Systems Auditor (CISA), and/or Certified Accreditation Professional (CAP) + ... assessments of computing environments to identify points of vulnerability, non- compliance with established Information Assurance (IA) guidelines and regulations and… more
- HonorHealth (Scottsdale, AZ)
- …will assist and support with safety inspections and risk/hazard analysis to ensure compliance with applicable regulatory requirements across the network. The EHS ... and facilitates extensive safety inspections and risk analysis to ensure compliance with applicable occupational safety and environmental regulatory requirements… more