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The Lead Director applies compliance, regulatory, business, analytical and communications skills to support, manage and develop operational solutions to advance Medicare compliant risk adjustment activities for the CVS Accountable Care Organization with national oversight.
$100,000 - $231,500 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Administers MercyOne’s CMS-based Shared Savings/ACO Programs (e.g., Medicare Shared Savings Program (MSSP. She/he will work collaboratively with the MercyOne Operations Team to provide oversight to PHSO colleagues related to compliance and contracting, among other functions.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Monitors Rush compliance with applicable laws and regulations, such as PCI, CCPA, NY DFS, Sarbanes Oxley, and FTC GLBA (Safeguards Rule). The Information Security Governance Risk and Compliance Analyst (GRC Analyst - REMOTE) will be responsible for performing risk-based analysis of information technology environments to identify compliance gaps and assist with guiding solutions to resolve identified gaps.
Full-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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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.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Experience with domain controller, TCP/IP, DHCP, DNS, DFS configuration, troubleshooting and management required. EXPORT COMPLIANCE DISCLAIMERThis position includes access or potential access to ITAR and/or EAR technical data.
$100,000 - $120,000 a yearFull-timeExpandUpdated 4 days ago - UpvoteDownvoteShare Job
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Job Description :Audit & Reimbursement III - Medicare Cost Report AuditLocations: This is a virtual position; the ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.
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MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Conduct investigations of compliance hotline reports or evidence of non-compliance under the direction of the Senior Vice President, Contracting & Risk Strategy. Work with Senior Vice President, Contracting & Risk Strategy to develop and manage the initiatives and objectives of the Compliance Work Plan, and Audit Plan. Oversee and manage Carrum’s vendor management, including screening process and perform routine sanction screenings of Carrum Health’s contracted providers, vendors, and other groups as deemed necessary.
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As a Expert Vulnerability Analyst you will drives DFS Cybersecurity strategic Compliance/Vulnerability management decisions. You have oversight over Compliance/Vulnerability management roadmaps.
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Perform complex Medicare cost report audits, serving as an in-charge auditor assisting other auditors assigned to the audit. Under guided supervision, the Audit and Reimbursement III will gain experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Interface with relevant government agencies, including the Defense Contract Audit Agency (DCAA) and Defense Contract Management Agency (DCMA), as required for audits and compliance reviews. Stay current with changes to federal regulations, FAR, DFARS, Service Contract Act (SCA), Davis Bacon Act (DBA), and other relevant laws and regulations, and proactively implement necessary adjustments to the compliance program.
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As an Environmental Compliance Specialist, you will:Coordinate stormwater pollution prevention plan (SWPPP) development, NPDES permitting, compliance, and reporting. As an Environmental Compliance Specialist, you will provide technical and administrative support to the internal and external client network of WSB. This position involves operational-level work in the field of environmental compliance within NPDES regulations (MS4, Construction, and Industrial); a variety of duties relating to the administrative, technical, and operational requirements of the Clean Water Act; and compliance with the provisions of Section 402.
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Softworld is currently recruiting for a Sr. Compliance Specialist to work in hybrid model in Washington, MI. The ideal candidate should possess a minimum of 5 years of natural gas operations, maintenance, or support experience, preferably with additional hazardous liquid experience.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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As a Compliance Analyst on the Square KYC team, you will review accounts observing documented procedures, user guides, and guidance logs; document conclusions in a manner that is clear and complete; follow turn times to ensure adequate throughput, and operate as a point of contact for junior analysts.
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Job Summary: The Environmental Compliance Specialist works with Project Managers and Senior Technical Advisors to ensure that PVE's clients and prospective clients operate in accordance with applicable Federal and State regulations pertaining to stormwater impacts, air emissions, waste generation and reclamation, etc.
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medicare compliance dfs jobs Title: compliance specialist Company: Metroplus Health Plan
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