Hospital Compliance Jobs in Sandy

Compliance Manager The candidate monitors and coordinates the daily operational activities of the staff. Bachelor's degree in relevant field of study is needed. Should have 5+ years of experience in healthcare ..

Associate General Counsel The candidate is responsible to perform a variety of legal work and participates in the performance of complex legal analysis, with an emphasis in transactional legal work, including ..

Paralegal Responsibilities: Works as part of a cohesive administrative team to support all needs and activities of the office. Provides support to supervising attorneys for a variety of legal work and ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Quality Compliance Professional 2 completes annual quality ... reviews and research. The Quality Compliance Professional 2 work assignments are ... of action. Responsibilities The Quality Compliance Professional 2..

Manager, HIPAA and Healthcare Duties: The candidate is responsible for managing clients and projects, assisting in compiling and analyzing HIPAA (Health Insurance Portability and Accountability Act) documents and Protected Health Information/electronic ..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..

Welcome to Centura Health:At Centura Health, we're on a mission to heal individuals and uplift communities.  We have locations throughout Colorado, Utah, and western Kansas, giving you opportunity to grow your ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

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 The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Welcome to Centura Health:At Centura Health, we're on a mission to heal individuals and uplift communities.  We have locations throughout Colorado, Utah, and western Kansas, giving you opportunity to grow your ..

Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Sandy Utah Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..

Daytime schedule starting as early as 6:30am. Occupational health nursing is the specialty practice that delivers health and safety programs and services to workers and worker populations. The practice focuses on ..

Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..

... procedures, and training and in compliance with regulations set forth by ... systems incorporated into training, including compliance with ethical business practicesMaintain environmental ... patient care experience in a..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Sandy Utah Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..

General Counsel/Head of Legal Duties: Serve the critical role of providing strategic legal advice to the organization, working with other key internal and external stakeholders, to drive internal governance, compliance and ..

... Clinical Supervisor for Surgery Northside Hospital Lawrenceville, Georgia Stroke Coordinator VHC ... - Emergency Medicine (Ball Memorial Hospital) Indiana University Health Muncie, Indiana ... Nurse (Experienced) - Duke University..

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Sandy Utah Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..