Healthcare Compliance Jobs in Brockton

... for validation and support of healthcare providers (oncologists/hematologists/APP/Pharmacists) on our promotional ... questions, ensuring medical accuracy and compliance with local procedures, ethical and ... Actively assess the medical and..

... we are passionate about enabling healthcare professionalsnto deliver high quality patient ... do so affordably. A leadingnglobal healthcare company, Siemens Healthineers continues to ... as managed services, consulting, and..

... we are passionate about enabling healthcare professionalsnto deliver high quality patient ... do so affordably. A leadingnglobal healthcare company, Siemens Healthineers continues to ... as managed services, consulting, and..

Job ID 21000I8ZAvailable Openings 1Position Specific Information SIGN ON BONUS ELIGIBLE $3000PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including ..

... performing complex tasks related to compliance with accreditation standards across multiple ... performing complex tasks related to compliance with accreditation standards across multiple ... resolving deficiencies that impact plan..

Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

... support of remote dispensing and compliance in Hospice IPU (Inpatient Unit) ... support of remote dispensing and compliance in Hospice IPU settings. Essential ... Daily generation and review of..

Description The Care Management Support Assistant 2 (CMSA2) contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

... Information Humana Medicaid Associate Director, Compliance Nursing in Boston Massachusetts Description ... Massachusetts Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

Job ID 21000E8SAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

Home Health & Hospice Care of Nursing Placement is the right career path for you. Family-owned and operated since 1976, with offices in Pawtucket, Cranston, Jamestown, Westerly, and Woonsocket. We pride ..

... Information Humana Actuary, Risk and Compliance in Boston Massachusetts Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for final distribution all medical records ..

Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..

This is an individual contributor role.Position OverviewAre you looking to be a part of something exceptional? If working for Siemens Healthineers in the Point of Care Business Area piques your interest, ..

Home Health & Hospice Care of Nursing Placement is the right career path for you. Family owned and operated since 1976, with offices in Pawtucket, Cranston, Jamestown, Westerly and Woonsocket. We ..