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Provide guidance on complex compliance matters like anti-bribery, anti-corruption, conflicts of interest, and interactions with healthcare providers, ensuring consistent and practical advice. Juris Doctor (JD) with at least 8 years of experience in legal/compliance roles within the healthcare industry or law firms, including at least 5 years specifically in pharmaceutical company compliance.
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Serve as a key Subject Matter Expert in the implementation of new technology initiatives to enhance the Compliance data repositories, reporting, analytics, and overall program with a strong focus on AML/BSA compliance.
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Help ensure compliance, maintenance, and renewal with accreditation standards, including Joint Commission accreditation and NCQA’s PCMH accreditation. Educate teams on current incentive requirements and develop streamlined processes for compliance and contribute to the enhancement and implementation of value-based care.
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Directs quality oversight of compliance and quality systems activities including Quality Risk Management, Data Integrity, Training, Audits and Inspections, Document and Records Management and Site Quality Council.
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Ensure accurate documentation of all patient interactions and data analysis in the Electronic Health Record (EHR) system, in compliance with CPT codes 98980 and 98981. Offer technical support and guidance to patients regarding the use of RTM devices, ensuring they understand the importance of compliance with their monitoring regimen.
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Due to compliance with U.S. export control laws and regulations, candidate must be a U.S. Person, which is defined as, a U.S. citizen, a U.S. permanent resident, or have protected status in the U.S. under asylum or refugee status or have the ability to obtain an export authorization.
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The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS, QARR, Medicare Advantage Star measures and quality improvement activities.
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Exposure to adjacent technology domains such as cloud, network infrastructure, audit & compliance, and DevSecOps. The Director, Cybersecurity reports to the Chief Information Officer with a dotted line to the Chief Compliance Officer.
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To request a reasonable accommodation, please call the Luxottica Ethics Compliance Hotline at 1-888-887-3348 (be sure to provide your name and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com.
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The Principal Specialist Quality Risk Management CAR T is responsible for supporting the S-12 Cell Therapy Quality Risk Management Program in accordance with BMS policies, standards, procedures and global cGMPs∯*∯ The primary focus for this role is to facilitate the risk assessments, in order to identify risk areas and implement risk mitigation measures for S-12 operations, cGMP compliance and business continuity.
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Performs and records daily, weekly, monthly and quarterly quality control procedures on PET/CT equipment to ensure compliance with ACR and AOA guidelines. Performs daily and weekly departmental surveys to ensure compliance of radiation standards of the department and Nuclear Regulatory Commission and/or State Regulations.
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Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
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With one of the largest multimedia air and land permitting and compliance teams in the country, we support client success in manufacturing and industry, liquids delivery and processing, natural gas storage and delivery, power generation and delivery, and transportation projects.
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As a member of the Talent Management Department, the Human Resources Compliance Manager works collaboratively with the Talent Management Leadership team to lead Firm-wide compliance with all existing federal, state, and local rules and regulations in the areas of wage & hour, paid family/sick leave, hiring processes, employment practices, and record retention.
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They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions.
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compliance job in Morristown, NJ
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