- McLaren Health Care (Indianapolis, IN)
- We are looking for a Compliance Officer to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care ... more about MDwise, Inc. at https://www.mdwise.org/ **Position Summary:** The Compliance Officer acts as a primary liaison...and MDwise's executive leadership and staff for the Plan's Medicaid compliance program. This position works with… more
- Humana (Indianapolis, IN)
- …+ Oversee internal investigations of FWA compliance issues + Work with the Contract Compliance Officer and Compliance Officer to create and implement ... and Waste Investigator will serve as Humana's Program Integrity Officer , who will oversee the monitoring and enforcement of...and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities… more
- RWJBarnabas Health (Oceanport, NJ)
- Quality Officer III (Inpatient Coding Review) - Hybrid /RemoteReq #:0000175903 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate ... Business Office, 2 Crescent Place, Oceanport, NJ 07757 Job Overview: The Quality Officer 3 is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding… more
- Idaho Division of Human Resources (Boise, ID)
- …is proactive, detail-oriented, highly collaborative, and eager to help develop solutions. The Compliance Officer will support Medicaid in maintaining ... Compliance Officer - MED Posting Begin...contract/subgrant monitors and program managers to develop and share compliance resources across Medicaid bureaus and other… more
- CareFirst (Baltimore, MD)
- …in the greater Baltimore metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from ... **Clinical Physician Executive Leader** + The Vice President and Chief Medical Officer has the primary responsibility, as the lead physician executive for the… more
- Providence (Seattle, WA)
- …stability for Medicaid . + Works with the Chief Population Health Officer -North Division and legal department to assure operating divisions are in compliance ... of population health initiatives related to accountable care activities for Medicaid and Health Equity Strategy including development and implementation of… more
- Centene Corporation (Austin, TX)
- …**Position Purpose:** This position will be a member of Medicare & Compliance Senior Leadership, chairs Centene's Medicare Compliance Committee, attends meetings ... Compliance Committee (ECC), and does not have financial, operational, or other non- compliance duties. This position is expected to promote an appropriate "Tone at… more
- AmeriHealth Caritas (Charleston, SC)
- **Chief Medical Officer , MD/DO (must reside in SC)** Location: Charleston, SC Primary Job Function: Medical Management ID**: 34514 **Job Brief** SC MD or DO license ... services. Discover more about us at www.amerihealthcaritas.com. The Market Chief Medical Officer (CMO) reports directly to the VP Population Health Medical Services… more
- Marshfield Clinic (Marshfield, WI)
- …of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes ... exciting missions in the world!** **Job Title:** Epidemiologist - Vaccine Safety ( Hybrid with onsite work in Marshfield, WI required weekly) **Cost Center:**… more
- Marshfield Clinic (Marshfield, WI)
- …of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes ... missions in the world!** **Job Title:** Accounts Payable Processor (Remote/ Hybrid ) **Cost Center:** 101651018 Accounts Payable **Scheduled Weekly Hours:** 40… more
- Marshfield Clinic (Weston, WI)
- …of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes ... missions in the world!** **Job Title:** Diabetes Educator/Clinical Dietitian ( Hybrid Option in Weston, WI) **Cost Center:** 301691201 Weston-Nutrition Education… more
- CareFirst (Baltimore, MD)
- …including adherence to all business and administrative regulations. Collaborate with ACA Compliance Officer to ensure compliance with all business, ... in marketing, finance, government relationships, operations, health services and compliance , the Director will drive membership growth, financial performance,… more
- Marshfield Clinic (Minocqua, WI)
- …of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes ... Health Counselor - LPC/LMFT/LCSW (40 - 32 hours per week) (Remote/ Hybrid ) **Scheduled Weekly Hours:** 40 **Employee Type:** Regular **Job Description:** **This… more
- CVS Health (Southfield, MI)
- …analytical and communication skills to support, manage and develop Medicare and Medicaid compliance programs and processes that promote compliant and ethical ... * Maintains current working knowledge and expertise in Medicare Compliance , Medicaid Compliance and State...actions to mitigate organizational risk * Serve as plan compliance officer and act as the primary… more
- Ramsey County (St. Paul, MN)
- …related duties as assigned. This position is a direct report to the Chief Compliance and Ethics Officer . Flexible Workplace This position is identified under the ... Healthcare Compliance Manager Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/4730411) Apply Healthcare Compliance Manager Salary $83,490.36… more
- CVS Health (Kenner, LA)
- …personal, convenient and affordable. **Position Summary** Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years of experience managing ... with a broad array of health care needs, our Medicaid plans have demonstrated that getting the right help...bring accessible healthcare to our members. The Chief Executive Officer has the responsibility for growing and leading the… more
- CareOregon (Portland, OR)
- …Status Exempt Management Level Director Direct Reports Tribal Liaison Manager Title Chief Medicaid Programs Officer Department Medicaid Programs Pay and ... 10% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a hybrid role that will require you to go into the community 1-2… more
- AmeriHealth Caritas (Newtown Square, PA)
- …the Vice President of Medicare Care Management and the Chief Medical Officer , the Corporate Director, Population Health Medicare Clinical Operations is responsible ... and ongoing improvement of Model of Care performance, contractual obligations, compliance with State and Federal regulations, and NCQA requirements. + Responsible… more
- Marshfield Clinic (Marshfield, WI)
- …of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes ... issues and collaborates with commercial payors on facility enrollment information. Remote/ hybrid position with occasional onsite work in Marshfield, WI required.… more