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The Assistant General Counsel I supports and reports to the Chief Legal Officer and provides legal advice on a wide variety of matters related to Community's Medicare, Medicaid and Marketplace programs and operations including contracting, quality, utilization management, network management, privacy and security, litigation, fraud, waste and abuse, and contractual and regulatory compliance.
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Other: Knowledge of a combination of health insurance and Medicaid, Medicare, Marketplace operations, regulations and compliance requirements. Maintain current knowledge, monitor changes, and provide research on Community's legal requirements including but not limited to licenses, certifications and accreditations as well as the requirements of the Texas Administrative Code, Texas Insurance Code, Health and Human Services Commission (HHSC), Texas Department of Insurance (TDI), Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), and other regulatory entities.
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The Trade Compliance Specialist handles day-to-day activities related with the import and export compliance programs. Minimum 5 years related experience, including a minimum of 3 years in one of the following areas: import / export compliance and operations or customs brokerage.
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Compliance oversight for "Schedule A" request from carriers, Form 5500, Medicare Part D Disclosures and CMS Reporting, HIPAA and ERISA and COBRA. Oversee Compliance functions to include but not limited to: Benefit Timeline Checklist Healthcare Reform Checklist Self-Funded SPD Checklist Stop Loss Checklist Admin Agreement Checklist.
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The Manager, Reliability Compliance will oversee the compliance program and be an interface with FERC, NERC, NERC Regional Entities (MRO, NPCC, RFC, SERC, TRE & WECC), Canadian regulatory authorities (AESO, BCUC, Government of Manitoba, IESO & Régie de l’énergie), ISO/RTOs (AESO, CAISO, ERCOT, IESO, MISO, PJM & SPP) and other regulatory and reliability entities applicable to Pattern’s assets.
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The Prevention of Sexual Abuse (PSA) Compliance Manager is responsible for the preventative education, detection, management, reporting, implementation, and compliance with the HHS Interim Final Rule (IRF): Standards to Prevent, Detect, and Respond to Sexual Abuse and Sexual Harassment Involving Unaccompanied Children (45 C.F.R. Part 411) in order to prevent and respond to sexual abuse and harassment involving Unaccompanied Children (UC.
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In collaboration with Engineering and R&D, the Trade Compliance Manager plays a crucial role in reviewing Weatherford's oilfield tools. The Trade compliance manager will be a key member of the Trade Compliance Team within Global Compliance, offering advanced support to one of four Segments.
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The Harris County Attorney's Office (HCAO) is seeking an attorney to join our Compliance & Revenue Division which specializes in lawsuits for debt collection and enforcement of laws that protect the interest of Harris County.
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Experience analyzing complex business operations, verifying compliance with fuel tax laws or activities in the petroleum industry. Experience in conducting investigations, analyzing basic business operations, verifying compliance with specific laws or activities in the petroleum industry.
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Its divisions include Credit; Prudential, Capital and Markets; Market Risk; Operational Risk; Compliance; Quantitative Applications; and Internal Audit. Experience as a compliance officer providing compliance and regulatory advisory support to physical power or gas trading and sales personnel; and/or.
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Identify, understand and communicate plan details to patients with HMO, PPO, EPO, Medicare Advantage and. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties.
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Experience and expertise in at least two core compliance program areas and willingness to further develop two other areas: human rights, global trade compliance, speaking-up & corporate compliance investigations, data privacy, training & enablement, competition law and M&A, healthcare compliance & industry-specific regulations, and conflict of interest.
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Resources for child and elder care
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Works closely with the Quality Manager to ensure compliance with statutory mandates, regulatory requirements and accreditation standards of professional organizations such as JCAHO. (Statutory and regulatory requirements include but are not limited to the following: FDA, OSHA, EPA, EMTALA, Medicare and Medicaid provisions of the Social Security Act.
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10+ years of relevant experience with NEPA compliance, environmental permitting, technical report writing, or project management. In this role you'll have the opportunity to join our interdisciplinary team to manage projects related to National Environmental Policy Act (NEPA) compliance, state-level equivalent reviews, and environmental permitting.
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medicare compliance jobs Title: compliance specialist Company: Metroplus Health Plan in Houston, TX
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