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Audit operational areas and delegated vendors for compliance and ensure Jefferson Health Plans (JHP) is meeting applicable federal and state laws and regulations, and contractual requirements as set forth by all regulatory entities including but not limited to Pennsylvania State regulatory agencies (DHS, DOH and PID) and Centers for Medicare and Medicaid (CMS.
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Certified Compliance and Ethics Professional (CCEP), Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), Certified Fraud Examiner (CFE), or other compliance related certification preferred.
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Reporting to the SVP, Chief Corporate Ethics and Compliance Officer, the VP Corporate Compliance is responsible for planning, developing, and enforcing compliance programs for Baylor Scott and White Health (BSWH), which includes varied compliance risk-based functions and programs such as hospital regulatory compliance, provider compliance, research compliance, third party compliance and other compliance activities.
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Privacy or Healthcare certifications (CIPM, CIPP/US, or CHC, CHPC, etc.) Preferred Qualifications Experience with data governance programs Experience with OneTrust platform implementation and or other GRC platforms Experience in a product and application development technology, compliance, or risk management role Has had to meet world-wide regulatory requirements for privacy and mitigate privacy risks.
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Certified in Healthcare Compliance (CHC), Certified Health Privacy Compliance (CHPC), Certified Compliance & Ethics Professional (CCEP), Certified Internal Auditor (CIA), Certified Public Accountant (CPA.
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Certification in Health Care Compliance (CHC), Healthcare Privacy Compliance (CHPC), or another compliance certification. Working as the liaison to management to ensure regulatory compliance with applicable laws, regulations, policies, grants, and contracts.
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Exhibiting familiarity with healthcare compliance regulatory agencies and a general understanding of healthcare laws and regulations (e.g., HIPAA, CMS, Medicare, Medicaid, Affordable Care Act, Anti-Kickback, Fraud and Abuse laws, False Claims Act, Accreditation, Research and Academic Medical Center experiences); and.
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Healthcare Compliance professionals help clients meet regulatory requirements and respond to regulatory actions through assessments, design frameworks and controls, embed tech enabled solutions and implementation.
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Strong leadership skills are essential to drive this multi-functional integration, CHC Consumer orientation / challenger mindset and results-orientation. Knowledge of relevant Technical Regulatory fields (CMC requirements for OTC products, Medical Device Requirements, Food supplements) advantageous.
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Build and maintain strong interfaces and collaborations with other departments like finance, supply, legal, quality / regulatory, engineering, Science, CSO and Growth HUB. As a top 3 global CHC player, we want to raise the bar in terms of our strategic and operational capabilities to enable sustainable, above-market growth.
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Ensures compliance with regulatory (NCQA, DHCS, CMS, DMHC, etc.) Knowledge of regulatory requirements (NCQA, DHCS, CMS, DMHC, etc.) Certified in HealthCare Compliance (HCCA – CHC) Must option within one year of hire.
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As the Compliance Director, you will be responsible for managing workers’ compensation regulatory risk by ensuring business operations are performing in compliance with federal, state, and local laws.
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This includes adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS) and Texas Health and Human Services (HHS.
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Collects data, prepares and provides reports as requested by legal and regulatory bodies, hospital administration, and the CHC corporate offices. Participates in CHC requested meetings and provides input as requested.
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CHC, PMP, or CPhT (or any combination) preferred but not required. Summary: The External Compliance Support (ECS) Manager manages and oversees compliance auditing activities conducted by external entities such as MedImpact's clients, consultant auditors (hired by MedImpact clients), or regulatory authorities.
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chc regulatory jobs
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