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Ensures appropriate operational execution of billing procedures, HIPAA compliance adherence, and Standard Operating Procedures (SOP). Ensures compliance with Company and legal policies, procedures, and regulations for assigned areas by analyzing and interpreting reports, implementing and monitoring loss prevention and safety controls, overseeing safety, operational, and quality assurance reviews, developing and implementing action plans, and providing direction and guidance on executing Company programs and strategic initiatives.
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Provide legal counsel to Abbott’s Electrophysiology team on compliance, risk management, and other legal issues in the context of federal and state regulatory requirements, including those relevant to sales and marketing of products to health care professionals and reimbursement by government programs areas, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act), FDA regulation (Food, Drug & Cosmetic Act), privacy (HIPAA), and anti-corruption (Foreign Corrupt Practices Act.
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Comply with applicable legal requirements, standards, policies and procedures including, but not limited to the Compliance Program: Code of Conduct, HIPAA and Documentation Standards.
$85,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Ensures referral center staff adhere to UMCP legal and compliance policies to minimize risks relating to the Health Insurance Portability and Accountability Act (HIPAA), and Anti-Kickback Statute.
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Negotiates, drafts, and reviews various documents, including affiliation agreements, option agreements, partnering arrangements, equity investments, service agreements, information technology and intellectual property agreements, confidentiality and non-disclosure agreements, conflicts of interest management plans, privacy, HIPAA compliance, and information security.
$180,000 - $210,000Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Serves as Keeper of Medical Records for HNE, review requests to assure HIPAA compliance for members, and respond to subpoenas and other court orders and medical record requests from walk-in members.
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Actively communicates, trains, and guides the processes for completion and follow-up on compliance initiatives to associates within Health & Wellness and other associates as applicable to the respective health care business.
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Knowledge of and experience with compliance/remediation efforts of relevant domestic and international security standards and best practices such as FedRAMP, SOX, SOC2, NIST, GDPR and HIPAA.
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Ethics and Compliance: Model Ethics and Compliance: Complies with policies and procedures. Models compliance with company policies and procedures and supports company standards of ethics and integrity by incorporating these into the development and implementation of business plans; using the Open Door Policy; and demonstrating and assisting others with how to apply these in executing business processes and practices.
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Ensures pharmacy operations are aligned with Company and regulatory (for example, HIPAA, SOP, QA) policies, standards, and procedures. Ethics and Compliance: Ensure Ethics and Compliance: Actively communicates, trains, and guides associates on compliance with policies and procedures.
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Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors (i.e., Medicare regulations and compliance; HIPAA.
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Significant experience structuring and administering healthcare plans (medical and dental insurance), welfare plans (life and disability insurance) and cafeteria plans in compliance with the requirements of ERISA, COBRA, HIPAA, the Americans With Disabilities Act and the Family and Medical Leave Act (FMLA.
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Manages benefits compliance under federal, state and local legal requirements, including testing, reporting, tax filings, disclosures and participant notices; oversees compliance with ERISA, HIPAA, medical child support orders, domestic relations orders, and COBRA.
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8-5 Monday – Friday Job Summary: Manager will work toward physician engagement through open dialogue and in-person visits with both affiliated (both employed and private practice) and non-affiliated. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, copier, telephone, adding machine, fax machine, printers and other minor office equipment.
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Duties:Responsible for performing controls and most of these controls have defined procedures that involve extracting data, analyzing it, and validating it to meet compliance requirementsResponsible for maintaining Sarbanes-Oxley, HIPAA, PCI, HITRUST, SOC, and other legal, regulatory, and contractual cyber security obligationsIdentify and prevent risk as a first priority while always being well prepared to detect, respond, and recover effectively from a security incident.
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