Sr. Manager Healthcare Compliance (Hybrid)
By Terumo Medical Corporation At Miami-Fort Lauderdale Area, United States
Knowledge, Skills and Abilities (KSAs)
Minimum 3 years management experience required.
Project management experience a plus.
Responsible for supervising and managing a third-party global management program
Manage the Monitoring Program and continues to develop it to ensure proactive compliance.
Excellent analytical, communication and presentation skills with a high-level attention to detail.
Healthcare Compliance Manager Jobs
By VIVA USA Inc. At United States
• Required skill set – Excellent communication, interpersonal skills, influencing and presentation skills and coaching skills
• Excellent communication, interpersonal skills, influencing and presentation skills and coaching skills
• 2+ years of experience within healthcare/medical device preferred
Work Location – 100% remote, preferably, EST zone
• Accuracy and attention to detail
• Critical thinker with an ambitious, solutions oriented approach
Healthcare Compliance Specialist - $90K
By Confidential At Florida, United States
Firsthand experience with health plan operation sin utilization management, appeals, grievances, pharmacy and or case management
Minimum three (3) years experience in Health Plan Operations (UM, Rx, Appeals). Managed care experience is required
Experience researching and summarizing applicable regulatory requirements
Ensure product content, workflow and SLAs meet client, regulatory and accreditation requirements
Able to adapt to competing demands, take on new responsibilities, and adjust schedule to meet changing priorities
Working knowledge of CMS processes and regulations
Healthcare Quality And Compliance Manager
By ResiHealth At United States

Experience building and maintain quality program in out-patient primary care, overseeing compliance with payer contracts, and achieving accreditation.

Senior Director Compliance - Healthcare
By Conselium Compliance Search At Gainesville, FL, United States
You will bring several years of management level hospital compliance experience, essentially including CMS, billing and coding compliance experience
Procedures, and maintaining current knowledge of applicable law, regulation and government payor requirements; produce well written, technically correct opinions and documents
Manage the daily operations of compliance program; advise hospital leadership about compliance matters and
Essential Education: Bachelor’s Degree and Advanced Degree, such as JD or MBA
Desirable: Healthcare Compliance Certification, e.g. CHC
Reporting directly to Chief Compliance Officer, opportunity to continue development of organization-wide compliance and ethics program
Manager, Healthcare Compliance Jobs
By BeiGene At United States
Minimum of five years of combined experience in healthcare compliance, including in-house experience.
Strong critical thinking skills, attention to detail, adaptability, and professionalism.
Excellent communication skills (oral and written; strong interpersonal skills in both one-on-one and group settings.
Provide practical business solutions that maintain the Company’s compliance within an evolving legal landscape.
Provide support on policy and procedure implementation governing business operations, ensuring compliance with laws and regulations applicable to the Company.
Collaborate with Commercial Ops to support sampling activities, data analytics, and the federal and state transparency.
Healthcare Compliance Consulting (Remote)
By Advent Advisory Group LLC At United States
Exceptional analytical, writing, interpersonal, communication and project management skills required.
Previous experience working in a fully remote setting preferred.
Maintain technical expertise in current and future regulatory or accreditation technical specifications and audit and reporting requirements.
Other job responsibilities as required.
Ideal candidate will have at least 5 years’ CMS Part C and D reporting, pharmacy, HEDIS or related compliance experience
Previous experience working for a pharmacy, health plan, health system or vendor required.
Compliance Analyst - Healthcare
By VillageCare At New York, NY, United States

Compliance Analyst VillageCare is seeking a motivated individual to assume the role of Compliance Analyst. This role will assist in monitoring compliance of the health plan with federal, state and ...

Healthcare Compliance Administrator Jobs
By Chamberlain University At , Remote $16.65 - $27.36 an hour
Healthcare experience/medical terminology with basic knowledge of immunizations Preferred and
1 years equivalent experience working in an educational institution. Required
Adtalem offers a robust suite of benefits including:
3 Minimum years customer service experience with a focus on customer satisfaction and one-contact resolution. Required and
Excellent verbal & written communication skills with the ability to professionally interact with students and colleagues at varying professional levels.
Strong problem-solving and analytical skills required.
Healthcare Compliance Administrator Jobs
By Chamberlain University At United States
Healthcare experience/medical terminology with basic knowledge of immunizations Preferred and
1 years equivalent experience working in an educational institution. Required
3 Minimum years customer service experience with a focus on customer satisfaction and one-contact resolution. Required and
Excellent verbal & written communication skills with the ability to professionally interact with students and colleagues at varying professional levels.
Strong problem-solving and analytical skills required.
Candidate must have the ability to work independently or within a team environment.
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.
Associate Director, Global Security & Healthcare Compliance Investig.
By Novartis At , East Hanover, 07936, Nj
Experience in data processing and case management tools such as Relativity and OneNote is desirable.
Effectively collaborate with Legal, Public Affairs, Data Privacy, REFS, SUO and other partners, promoting benefits to Novartis stakeholders.
Bachelor’s Degree or equivalent experience
Experience in international security/fraud investigations field and/or proven investigations experience in a relevant field
Anti-bribery and corruption (ABAC/FCPA) investigation experience in a commercial setting is desirable
Omni-competent as both a professional investigator and a seasoned security manager.
Senior Manager, Healthcare Compliance
By BeiGene At , Remote $149,900 - $194,900 a year
Project Management - Communicates changes and progress; Completes projects on time and budget.
Minimum of seven years of combined experience in healthcare compliance, including in-house experience.
Strong critical thinking skills, attention to detail, adaptability, and professionalism.
Excellent communication skills (oral and written; strong interpersonal skills in both one-on-one and group settings.
Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully.
Provide practical business solutions that maintain the Company’s compliance within an evolving legal landscape.
Healthcare Privacy & Compliance Associate
By Interlink Talent Solutions At Chicago, IL, United States
Exceptional project management skills and the ability to manage a fast paced workload while maintaining priorities and anticipating issues.
The successful candidate will be skilled and experienced with the following:
2 4 years of Privacy and cybersecurity experience or litigation experience with a demonstrated interest in privacy and cybersecurity.
An understanding of healthcare operations and knowledge of Health Insurance Portability and Accountability Act (HIPAA) compliance.
Outstanding writing and oral communication skills.
Good judgment and the ability to apply legal knowledge to problem solve by developing strategic solutions.
Healthcare Compliance Associate Jobs
By Daniel Roberts At New York, NY, United States
1-3 years of Healthcare Compliance experience
Confident self-starter with strong interpersonal and organizational skills, with a keen attention to detail
Outstanding written and oral communication skills and ability to work both in teams and independently
Supporting the general operations of the Compliance Function:
Assisting with execution of Monitoring and Auditing program and any outcomes resulting from monitoring (ie. Associated training, coaching, SOP updates)
Supporting Cross-functional projects and initiatives where Compliance needs to be involved