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Job Summary: The Manager of Compliance and Risk Management is responsible for managing and improving the Prominence Health Plan Compliance and Risk Management Program to assure compliance with State and Federal regulations for health plan products including Medicare Parts C and D, large- and small-group health plans, third-party administration, and other commercial health plan products.
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This position assists the Sutter Health Plan Ethics & Compliance Officer and ethics & compliance leadership in the oversight and administration of the ethics & compliance program at the entity level to ensure compliance with the organization's policies and procedures and applicable state and federal laws, regulations, and standards (e.g., General Compliance Program Guidance, antifraud laws, physician self-referral laws, and anti-kickback statutes.
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Under the supervision of the Manager, Research Compliance and other supervisory staff, this position performs clinical trial monitoring in accordance with TGH Quality Review Program Plan to ensure compliance with Department of Health and Human Services (DHHS) regulations, the Food and Drug Administration (FDA) regulations, and the International Conference on Harmonization Good Clinical Practices (ICH GCP) Guidance.
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5 or more years of prior experience in Employee Benefit Plan Administration industry (Defined Benefit and Defined Contribution Retirement Plans, and Health and Welfare Plans) Serves as the Senior Accountant for the Insurance and Financial Services (I&FS) Finance and Accounting team supporting the three multiple employer benefit plans (401(k) Pension Plan, Retirement Security Plan, and Group Benefits Program.
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Compliance experience with:HIPAA Privacy Rule;Benefit plans and reimbursement accounts including health flexible spending accounts, health savings accounts, dependent care assistance programs, transit programs, and lifestyle spending accounts;COBRA;Banking RegulationsEmployee benefit administration software and services;Health plan reporting under Affordable Care Act and Internal Revenue Code; andMedicare Advantage and Medicaid flexible benefits.
$62,000 - $82,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Is responsible for managing and improving the Prominence Health Plan Compliance and Risk Management Program to assure compliance with State and Federal regulations for health plan products including Medicare Parts C and D, large- and small-group health plans, third-party administration, and other commercial health plan products.
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Education:A Bachelor's degree in Public Health, Healthcare Administration, Public or Business Administration, or closely related or relevant Healthcare or Quality Management field.
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LIBERTY Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
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The Health and Safety Compliance Coordinator at Essex Property Trust plays a pivotal role in ensuring our company's operations' safety and regulatory compliance. This position oversees OSHA compliance, including assistance with the administration of the company's IIPP and Workplace Violence Prevention Program, designs and implements safety processes and audits, partners with operations to ensure application in the workplace, ensures compliance with federal and state regulations and conducts investigations into workplace safety events.
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Graduation from an accredited university or college with an undergraduate degree in Public Health, Healthcare Administration, Social Work, Psychology, Counseling or related field. Reviews the OIG Work Plan on a monthly basis and reports any applicable updates to the Compliance and Quality Systems Coordinator.
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Bachelors degree in Health Care Administration, Clinical, Law, Public Health, Business or related field and Minimum three (3) years experience in health care compliance, health care operations (quality, risk, etc.
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The Safety Compliance Manager is responsible for MSHA compliance management, safety & health program development and administration, and safety data management for the facility.
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Reviews and revises the organization’s compliance plan as needed while utilizing Health Resources and Services Administration (HRSA) Compliance Manual. Master’s Degree in nursing, health care administration, or closely related field.
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The Office of Enforcement and Neighborhood Services (OENS) leads the agency’s effort to work closely with other HPD divisions and outside community partners to identify buildings in distress, assess and develop appropriate strategies to address those properties and work closely with responsible owners to develop a plan to improve conditions and return buildings to firm financial footing and physical health.
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Travel: No Relocation Assistance Available: No Position Contingent upon Award of Contract: No TSC Benefits: TSC offers a stable work environment, a competitive salary, and a comprehensive benefit package; including ESOP participation, 401k Plan, Flexible Work Schedules, Tuition Reimbursement, Co-Sponsored Health Plan, Paid Leave and much more.
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health plan administration jobs Title: compliance
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