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Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and compliance with federal and state regulations and contractual requirements of codes billed to identify coding errors and billing discrepancies in relation to incidents of suspected healthcare fraud, waste, and abuse (FWA) reported to IEHP’s Compliance Special Investigations Unit (SIU.
$71,572.8 - $93,038.4 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Manage, supervise, monitor, and participate in the field inspection process; supervise and participate in the inspection of buildings and similar structures to ensure that construction, alterations, maintenance, structural, plumbing, electrical, and mechanical work is conducted in compliance with provisions of codes and ordinances and in accordance with approved plans and specifications; advise, investigate and resolve the most technical and political complaints and inquiries.
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Experience with systems configuration and implementation of Governance, Risk, and Compliance (GRC) software and Managed Care Compliance Programs. Completes mass changes and imports as needed for Compliance and IEHP projects and teams.
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Governance or oversight of a third-party risk management program experience preferred. Define and implement solutions to meet compliance requirements, including but not limited to: Sarbanes-Oxley, Payment card industry standards, and state and federal regulations.
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Performs all SPD/CST duties in compliance with applicable policies, regulations, and standards of AAMI/AORN.|Ensures proper functioning, care, and use of clinical equipment, supplies and instrumentation.
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Manages maintenance department daily operations by monitoring and ensuring department performance related to maintaining warehouse equipment (e.g., material handling equipment, pneumatic systems, electrical systems, air compressors, ammonia refrigeration equipment, general building repairs); and monitoring and ensuring compliance with state and federal regulations (i.e. OSHA, Hazardous Waste, NFPA, Storm Water, DOT, etc.
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Approximate Salary Range: $17-17.50 PER HOURBASIC FUNCTIONThis position is responsible for assisting the Head Women's Basketball Coach in all facets of the program, including but not limited to: organizing and conducting team training and practices, recruiting, team travel logistics, scholar-athlete development, and compliance with all applicable rules and regulations.
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The Construction Coordinator ensures contractor compliance with State, local, and company requirements while working within the public ROW or utility easement. This position requires strong teamwork with the Frontier Construction Supervisor as well as the Frontier OSP Engineer.
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Experience with IT governance, risk, and compliance management in a large global environment. Experience with IT GRC/ IRM platforms (Oracle, RSA Archer, MetricStream, etc.) Experience with legal and regulatory compliance standards such as GDPR, HIPAA, HITRUST, etc.
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Professional certification in BSA/AML compliance is a plus (e.g., Certified Anti-Money Laundering Specialist) Maintains up-to-date knowledge of banking compliance regulations, such as the Bank Secrecy Act (BSA) and Anti-Money Laundering (AML) regulations.
$82,786.52 - $124,000 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Protect the integrity of Taylor University by ensuring program compliance with university policy, conference rules, and NAIA guidelines. Responsible for assisting the Head Athletic Trainer, the Athletic Trainer will aid evaluation, treatment, and rehabilitation of athletic injuries.
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Minimum five (5) years of experience occupying the role of a SAP Basis using SAP Netweaver technology for our SAP applications solutions (ECC, SRM, BW, Portal, GRC & SolMan) Minimum de cinq (5) années d'expérience occupant le rôle d'une base SAP utilisant la technologie SAP Netweaver pour nos solutions d'applications SAP (ECC, SRM, BW, Portal, GRC & SolMan.
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This position is responsible for assisting the Head Women's Basketball Coach in all facets of the program, including but not limited to: organizing and conducting team training and practices, recruiting, team travel logistics, scholar-athlete development, and compliance with all applicable rules and regulations.
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The Compliance Auditor III is responsible to lead and conduct key activities of the IEHP Compliance Audit Program. The Compliance Auditor III is responsible for conducting compliance audits, reporting results, identifying risks, establishing compliance monitoring processes, and assessing regulatory compliance of Health Plan operations.
$38.37 - $48.93 an hourFull-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Work with parking attendant to ensure compliance of park polices and guidelines. Palace Entertainment owns and operates some of the country’s largest and most prestigious venues including: National Historic Landmark, Kennywood Park, America’s Oldest Amusement Park, Lake Compounce, the world’s first ever Cartoon Network Hotel, Best Family Theme Park Dutch Wonderland and a variety of other family-friendly parks and campgrounds throughout the United States.
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grc governance compliance jobs in Claremont, CA
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