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Health care regulatory knowledge focusing on Fraud, Waste, and Abuse; knowledge of Value-based care, Medicare Advantage Organizations, ACO REACH and MSSP programs is required. This role will provide regulatory guidance on various healthcare-related issues with a focus on Anti-kickback Statute (and related state statutes), Stark Law, Civil Monetary Penalties Law, and develop compliant solutions to to facilitate and promote One Medical’s business objectives, including value-based care, care coordination, and clinical integration.
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Regulatory/utility/FERC/SEC reporting or energy industry experience. Participate, as needed, in the planning and analysis function for the Business Unit or functional area of responsibility in coordination with FP&A. Maintain and identify opportunities to enhance internal controls and support regulatory compliance and business planning by performing analyses.
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Demonstrated technical knowledge and understanding of Accounting theory, principles, practices and regulations including FASB/GAAP and SOX compliance. Proactively notify Principal, Manager or Director of any accounting/reporting issues or concerns.
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Reporting to the Managing/Senior Corporate Counsel, this role will round out a dynamic and growing legal team, serving as subject matter expert for drafting, reviewing, and negotiating various strategic agreements and complex transactions.
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As a Barclays US Basel IV Regulatory Capital Reporting Assistant Vice President (AVP), you will be working in the Regulatory Capital Team and will be tasked with the development and on-going circulation and reporting of both point in time and Comprehensive Capital Analysis and Review (CCAR) Projected risk weighted assets (RWAs), capital leverage, and Single Counterparty Credit Limits (SCCL) Large Exposures for Barclays IHC (Intermediate Holding Company) to internal and external stakeholders.
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Inspections: Conduct comprehensive quarterly and semi-annual inspections to assess compliance with regulatory standards, reporting findings and corrective actions. The Compliance and Regulatory Manager/Director plays a critical role in ensuring the smooth operation and adherence to regulatory standards at our In Vivo Primate Quarantine and Breeding Facility.
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Technical consulting for clients on regulatory compliance matters including permit management, routine regulatory reporting (i.e., air, hazardous waste [RCRA and non-RCRA], EPCRA, etc.
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Ensure compliance with FDA regulations and ICH guidelines to meet all regulatory drug safety and pharmacovigilance reporting requirements. Proactively oversees creation and continuous improvement of adverse event reporting and management processes on a global scale, including the oversight of the case management and regulatory submissions activities.
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Knowledge of regulatory and financial reporting requirements under cooperative agreements and contracts of federal and non-federal funders required, specifically USAID (other funders may include CDC, World Bank, FCDO, etc.
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Reporting to the SVP, Sales & Client Management, the Director, Group Medicare Sales, is an integral member of the leadership team—driving BCBSMA’s purposeful re-entry into the Group Medicare Advantage Market.
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Provider Regulatory and Commercial Provide counsel to CCA regarding the following issues: Accountable for understanding federal and state health care law requirements applicable to CCA, including Medicare and Medicaid rules, HIPAA privacy and security, healthcare reform, legal and regulatory topics relating to CCA's status as a government contractor and integrated health care services delivery organization, fraud and abuse, Anti-Kickback, and Stark/self-referral requirements.
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To be successful in this role, you must have a demonstrated ability leading a global trade compliance function, with a special focus on economic sanctions and foreign trade laws. Adequate educational background, plus an extensive (7+ years) experience in compliance, sanctions/AML/KYC investigations.
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JOB SUMMARYUnder the direction of the Director of Licensing and Regulatory Services, provides legal support to in-house counsel, home health, hospice, home care, and senior living operations as part of a dynamic in-house legal department.
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The Compliance/File Clerk is responsible for filing and auditing UC case files, entering and maintaining information and data into the information systems, maintaining well organized files in accordance with program filing and record-keeping standards in accordance with the Office of Refugee and Resettlement (ORR) standards, Agency, and licensing standards, and other federal, state, CARF and local regulatory requirements.
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Oversee the application of export control, trade compliance regulatory actions on complex. This role will give you the opportunity to be part of the ASM Global Trade Compliance team, that has the responsibility to ensure that ASM global businesses are conducted in compliance with the various international export control laws and regulations, sanctions and customs regulations.
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medicare compliance regulatory reporting jobs Title: compliance specialist Company: Metroplus Health Plan
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