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Compliance Consultant Jobs

Medicaid Compliance Consultant (Contract)
By Elevance Health At , Remote
Advanced level, report, communicate, research laws at the advanced level, regulations, requirements, regulatory audits and/or exams.
At the advanced level, analyze and extract regulatory data, documentation for compliance with requirements.
Provide advanced level support to regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments.
Be part of an Extraordinary Team
Oversight Compliance Consultant Senior - Elevance Health
By Elevance Health At New York, NY, United States
Utilization Management and/or Case Management experience strongly preferred.
Preferred Skills, Capabilities And Experiences
Assists with planning and implementation of formal education sessions to external customers to address non-compliance issues.
Job Family: Medical and Clinical
Performs annual and ad hoc delegation oversight audits and internal health plan functional unit audits.
Develops corrective action plans and analyses of required program reports and internal performance measures.
Csv Quality & Compliance Consultant
By Life Science People At United States
Flaunt strong project management aptitude, coupled with the prowess to judiciously prioritize tasks.
Execute comprehensive end user testing to validate flawless execution of PQ/UAT scripts, meticulously aligned with system-level user requirements.
Provide unwavering support for audit readiness initiatives and adeptly manage internal audit processes.
Demonstrate exemplary written and verbal communication skills.
Leverage your experience in executing end user testing and meticulously documenting software-related quality events.
Collaborate seamlessly with testing and validation teams to meticulously craft validation documentation that seamlessly adheres to regulatory requisites and standards.
Retirement Compliance Consultant Jobs
By Aegon At United States
Bachelor’s degree in finance or business, or equivalent work experience.
Evaluate alternative solutions and consult with other team members/manage for resolution.
Analytical skills and attention to detail.
Analyze and research data to ensure proper completion of Form 5500 and applicable schedules.
Prepare forms following set deadlines and quality expectations.
Provide communications and auditing packages to auditors and clients according to IRS regulations.
Compliance Consultant (Contract) Jobs
By Synctera At United States
Investigate various system-generated alerts in our case management platform, including alerts for potential transaction fraud, unusual activity, and chargeback disputes.
Maintain well-documented records of KYC reviews, investigations, and OFAC/watchlist-related activities, ensuring compliance with regulatory requirements and internal policies.
2-3 years of experience in compliance, fraud detection, or a similar role at a financial institution is preferred.
Knowledge of banking regulations, including BSA/AML, KYC, OFAC sanctions, etc.
Detail-oriented mindset with excellent analytical and problem-solving skills.
Conduct manual reviews of customer documentation and identity verification details to ensure compliance with KYC regulations, OFAC guidelines, and internal policies.
Clinical Compliance Consultant Sr
By Elevance Health At District of Columbia, United States
Knowledge of clinical regulatory requirements such as experience with CMS and state regulatory and accreditation requirements preferred.
Makes recommendations to business unit partners for improvements or remediation to risk management, regulatory, and accreditation compliance programs.
Monitors business unit initiatives relating to the development and implementation of a risk management program for utilization management activities.
Collaborates with enterprise quality team, enterprise care management, and other clinical teams on regulatory initiatives.
Identifies opportunities to manage and mitigate those risks.
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Clinical Compliance Consultant Sr
By Elevance Health At Florida, United States
Knowledge of clinical regulatory requirements such as experience with CMS and state regulatory and accreditation requirements preferred.
Makes recommendations to business unit partners for improvements or remediation to risk management, regulatory, and accreditation compliance programs.
Monitors business unit initiatives relating to the development and implementation of a risk management program for utilization management activities.
Collaborates with enterprise quality team, enterprise care management, and other clinical teams on regulatory initiatives.
Identifies opportunities to manage and mitigate those risks.
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Compliance Consultant Jobs
By Michael Page At Manhattan, NY, United States
Prepare important documentation for senior management
Maintain knowledge on BSA AML regulations
Experience using Actimize and/or Fircosoft
Knowledge in banking related rules & regulations
Ability to work within the compliance and legal department|Work on a flexible and hybrid work schedule
Pull, collect and analyze compliance data
Compliance Consultant Jobs
By Confluence At Pennsylvania, United States
What skills and experience do I need to succeed?
Remote US or Canada – East Coast.
Generous time off packages including additional half days with each public holiday in your location.
Referral Bonus scheme- $3,000 per successful referral
More About The Role & Team
If you would like to find out more about a Career at Confluence, please apply today.
Compliance Consultant Jobs
By Ronan Healthcare Consultants At United States
Responsible for hiring, training, development, and performance management of the compliance team;
Drive performance management through mentoring.
Bachelor’s degree in healthcare, business, or organizational related field or comparable corporate experience,
Certification in Healthcare Compliance and Privacy preferred.
Five or more years of experience specific to a healthcare compliance and leadership position is required.
Strong verbal and written communication skills.
Risk & Compliance Consultant Jobs
By Mindlance At United States
Communications skills – taking notes, gathering information, creating communications for presentation, public speaking, and polished.
Control and compliance experience – able to define control and risk - *required*.
Working knowledge of SQL and Tableau reporting.
Resource will be supporting Controls and Governance team within CEDA to support policy adherence.
Will be leading monthly data council meetings with 80-100 people to show observations around data to broader audience.
Work independently to gather info from customer complaint partners.
Compliance Consultant - Remote
By UnitedHealth Group At , Eden Prairie, 55344, Mn $85,000 - $167,300 a year
Develop/maintain product, regulatory, and operational knowledge for assigned businesses, with particular focus on provider practice standards and regulatory requirements
Experience with Medicare Advantage rules, including the Medicare Managed Care Manuals
4+ years of experience with Medicare Advantage plan regulations
Demonstrated experience interfacing with executive leadership to enforce the compliance program
Understanding of the requirements of an effective corporate compliance program
5+ years of experience working in a health care compliance role
Compliance Healthcare Consultant Jobs
By Alvarez & Marsal At Nashville, TN, United States
Solid project management and organizational skills.
Perform research and maintain knowledge on all regulations and statutes and manage large and complex projects to achieve all compliance objectives.
Drive end-to-end project management, alongside senior team members, including the creation of requisite Document Request Lists, workplan creation, and progress tracking.
Ability to use sound judgment and escalate project issues to project managers or engagement leaders.
Excellent verbal and written skills, with the ability to communicate with and present information to all levels of client personnel.
Assist in auditing and reviewing corporate compliance programs.
Compliance Healthcare Consultant Jobs
By Alvarez & Marsal At Charlotte, NC, United States
Solid project management and organizational skills.
Perform research and maintain knowledge on all regulations and statutes and manage large and complex projects to achieve all compliance objectives.
Drive end-to-end project management, alongside senior team members, including the creation of requisite Document Request Lists, workplan creation, and progress tracking.
Ability to use sound judgment and escalate project issues to project managers or engagement leaders.
Excellent verbal and written skills, with the ability to communicate with and present information to all levels of client personnel.
Assist in auditing and reviewing corporate compliance programs.
Compliance Healthcare Consultant Jobs
By Alvarez & Marsal At Atlanta, GA, United States
Solid project management and organizational skills.
Perform research and maintain knowledge on all regulations and statutes and manage large and complex projects to achieve all compliance objectives.
Drive end-to-end project management, alongside senior team members, including the creation of requisite Document Request Lists, workplan creation, and progress tracking.
Ability to use sound judgment and escalate project issues to project managers or engagement leaders.
Excellent verbal and written skills, with the ability to communicate with and present information to all levels of client personnel.
Assist in auditing and reviewing corporate compliance programs.
Risk & Compliance Analyst Consultant
By SoftSages Technology At Dallas, TX, United States

Must have banking/financial OR big 4 experience.

Auburn Hills Mi or Dallas Tx

Hr Compliance Consultant Jobs
By Nationwide Children's Hospital At , Columbus, 43205, Oh
Working knowledge of Joint Commission standards related to Human Resources and licensure and certification standard requirements for clinical and non-clinical positions.
Two years’ experience in healthcare compliance, human resources, risk management, or equivalent experience, required.
Demonstrated verbal and written communication skills. Experience:
Analyzes compliance and integrity concerns, questions or complaints received from internal customers, in collaboration with HR Compliance manager.
Outstanding customer service, organizational, and analytical skills.
Demonstrated experience with HRIS systems, required.
Risk Compliance Consultant : Advisor
By Jack Henry and Associates, Inc. At , Remote $100,000 - $152,000 a year
Regulatory compliance consulting service engagements focused on initial and ongoing management of Information technology (IT) and information security.
Vendor Management/third-party risk assessment management.
Experience working within a Managed Service Provider (MSP) environment.
Ongoing education on FFIEC, FDIC, OCC, FRB, NCUA, SEC, SOX, GLBA and other regulatory agency guidance.
Obtain and maintain current industry-related compliance certifications and memberships.
May perform other job duties as assigned.
Compliance Program Consultant Jobs
By Dahl Consulting At Minnetonka, MN, United States
5 years of experience in program and/or vendor management
Worksite Location: Remote, but must be local to Minnetonka, MN office to attend occasional meetings
Experience in paralegal duties and risk assessment
Strong communication, attention to detail, analysis, and investigative skills
Pay Range: $38-$40 per hour
Monitor enterprise-wide identity and sanction check searches are completed in a timely manner

Are you looking for a challenging and rewarding opportunity to make a difference in the world of compliance? We are looking for a Compliance Consultant to join our team and help us ensure that our clients are in compliance with all applicable laws and regulations. You will be responsible for providing advice and guidance to our clients on a variety of compliance matters, as well as developing and implementing compliance policies and procedures. If you are passionate about compliance and have the skills and experience to make a difference, we want to hear from you!

Overview:

A Compliance Consultant is a professional who provides advice and guidance to organizations on compliance with laws, regulations, and industry standards. They are responsible for helping organizations understand and adhere to applicable laws and regulations, as well as developing and implementing compliance programs.

Detailed Job Description:

A Compliance Consultant is responsible for providing advice and guidance to organizations on compliance with laws, regulations, and industry standards. They are responsible for helping organizations understand and adhere to applicable laws and regulations, as well as developing and implementing compliance programs. They must be knowledgeable about the relevant laws and regulations, and be able to interpret and explain them to the organization. They must also be able to identify potential areas of non-compliance and recommend corrective action. Additionally, they must be able to develop and implement policies and procedures to ensure compliance with applicable laws and regulations.

What is Compliance Consultant Job Skills Required?

• Knowledge of applicable laws and regulations
• Ability to interpret and explain laws and regulations
• Ability to identify potential areas of non-compliance
• Ability to develop and implement compliance programs
• Excellent communication and interpersonal skills
• Strong organizational and problem-solving skills
• Ability to work independently and as part of a team

What is Compliance Consultant Job Qualifications?

• Bachelor’s degree in law, business, or a related field
• Relevant experience in compliance or a related field
• Professional certification in compliance or a related field (e.g. Certified Compliance Professional)

What is Compliance Consultant Job Knowledge?

• Knowledge of applicable laws and regulations
• Knowledge of compliance programs and processes
• Knowledge of risk management principles
• Knowledge of industry standards and best practices

What is Compliance Consultant Job Experience?

• Previous experience in a compliance or related role
• Experience developing and implementing compliance programs
• Experience interpreting and explaining laws and regulations

What is Compliance Consultant Job Responsibilities?

• Develop and implement compliance programs
• Monitor compliance with applicable laws and regulations
• Identify potential areas of non-compliance
• Provide advice and guidance on compliance matters
• Develop and implement policies and procedures to ensure compliance
• Monitor changes in applicable laws and regulations
• Prepare reports on compliance activities
• Train staff on compliance matters