Medicare Compliance Lead: Regulatory & Audit Expert
$115.2k - $158.4kHumana
A leading healthcare company is seeking a Compliance Lead to ensure adherence to governmental requirements, focusing on clinical utilization management for Medicare Part C. This role requires expertise in compliance, effective communication skills, and the ability to develop compliance policies. Responsibilities include serving as a subject matter expert, developing audit methodologies, and tracking compliance metrics. Candidates must have at least a Bachelor's Degree and eight years of relevant experience. Compensation ranges between $115,200 to $158,400 annually, with potential bonuses. #J-18808-Ljbffr
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- ...Environmental Compliance Lead The Washington State Department of Transportation (WSDOT) is... ...mission and implementation of streamlined regulatory processes and environmental compliance... ...as a statewide lead and subject matter expert for environmental commitments and...RegulatoryPermanent employmentFull timeContract workFor contractorsWork at officeLocal areaRemote workFlexible hours
$170k - $247k
...help our clients navigate complex regulatory landscapes with ease. We ensure proactive compliance with key environmental laws,... ...Regulatory Compliance Subject Matter Expert, you will serve as a trusted... ...discipline and the firm’s visibility. Lead and manage environmental...RegulatoryFull timeLocal areaFlexible hours$201.37k - $236.9k
...*The Coinbase Internal Audit is an independent, third... ...of governance, compliance, risk management, and control... ...in accordance with the regulatory requirements, you'll play... ...(US, EMEA, APAC). Lead Coinbase’s global IT &... ...Act as a subject‑matter expert on global technology and...RegulatoryWork at officeLocal area$110k - $120k
...Registered Nurse - Compliance Partner About the Opportunity... ...performing clinical compliance audits, conducting internal investigations... ...under the direction of a lead compliance partner or the Chief... ...of the legal and regulatory framework governing the skilled...RegulatoryFull timeHome office$105.79k - $141.05k
...being recommended for the role of Sr Lead Finance Analyst 342273. The... ...financial workflows. Data Governance & Compliance Ensure data integrity and... ...corporate financial policies and regulatory standards. Apply AI-powered audit tools to detect anomalies and strengthen...RegulatoryTemporary workRemote work$21 - $26 per hour
...become the trusted authority and leading partner for state departments... ...and innovative, streamlined compliance solutions. We’re growing... ...accurately complete state regulatory surplus lines tax filings... ...Assist with any surplus lines audits, verifying transactions, documents...RegulatoryFull timeRemote work$72.7k
...serves as the subject matter expert for payroll tax compliance across all jurisdictions,... ...RESPONSIBILITIES Lead and perform peer review of... ...manage responses to tax audits and compliance reviews... ...g., multi-state taxation, regulatory changes) Ensure accurate...RegulatoryFor contractorsWork at officeLocal area- ...DSHS ESA Operations and Compliance Analyst (Management Analyst 4)... ...business processes, and support audit readiness and compliance frameworks... ...administrative operations by leading complex analyses, driving... ..., policy development, and regulatory frameworks within large or complex...RegulatoryContract workCasual workWork at officeRemote workMonday to Friday
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- ...A leading health insurance firm seeks a Medical Director to oversee clinical case reviews and ensure compliance with Medicare guidelines. The role involves evaluating healthcare services, applying... ...guidelines, and working within regulatory frameworks. Candidates must hold...RegulatoryRemote work
$139.4k - $291.8k
...Overview As Director of Compliance & Property Management you will lead the administrative, governance, and regulatory management of Oracle Cloud... ...including Logistics Managers, Audit & Compliance Managers,... ...vision insurance, including expert medical opinion # Short term...RegulatoryContract workTemporary workWork at officeLocal areaFlexible hours- ...community The Vice President, Medicare Market Operations & Business... ...Regions. This role leads a data-driven performance management... ...competitive market dynamics, regulatory developments, and demographic... ...take affirmative action, in compliance with Section 503 of the...RegulatoryApprenticeshipRemote work
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A leading government IT services provider is seeking a Senior Subcontracts Administrator to join their team. This fully remote position... ...subcontract management, negotiating agreements, and ensuring compliance with regulations. The ideal candidate will have a Bachelor's...Remote work$129.3k - $177.8k
...and rate certifications with regulatory agencies. You will support... ...filings, including attesting to compliance with state and federal... ...Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through... ...of life for people with Medicare and Medicaid, families, individuals...RegulatoryBi-weekly payFull timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome officeFlexible hours$246.1k - $344.2k
...healthcare professionals in compliance with review policies,... ...current knowledge of Medicare regulations, managed care... ...in internal and external audits as required and respond to regulatory inquiries as needed.... ...skills with prior experience leading teams focusing on...RegulatoryBi-weekly payFull timeTemporary workApprenticeshipInterim roleWork at officeRemote workWork from homeHome officeMonday to Friday$104k - $143k
...Become a part of our caring community The Workforce Management Lead applies and integrates advanced and predictive analysis, people... ...development, talent management, diversity and human resource compliance). The Workforce Management Lead works on problems of diverse...Full timeTemporary workRemote work$80k - $90k
GCG is seeking a Health & Safety Systems Specialist to optimize EHS management systems and ensure regulatory compliance in Olympia, WA. This role involves data management, reporting, and process improvement across EHS initiatives. Candidates should have a Bachelor's degree...RegulatoryRemote work- ...additional pricing tasks related to local regulations and/or regulatory compliance programs are completed accurately and within the required... ...complaints to management. Job ID: 1814137BR Title: Shift Lead Company Indicator: Walgreens Employment Type: Part-...RegulatoryHourly payPart timeWork experience placementSeasonal workWork at officeLocal areaShift work
$100k - $160k
...successful deployment and adoption of AI initiatives.Ensure AI models and solutions are built with scalability, reliability, and compliance in mind, addressing ethical AI concerns and industry regulations.Assist with the development of repeatable models that can be replicated...Full timeLocal areaRemote work- ...Senior Regulatory Consultant – Advertising & Promotion (Strategic Lead) We are seeking a highly strategic and experienced Senior... ...as a trusted subject matter expert (SME) in FDA Advertising &... ...promotional materials, ensuring compliance with applicable FDA regulations...RegulatoryRemote work
- ...Purpose: The Site and Monitoring Health Lead (SMH Lead) will apply knowledge of... ...the trial Remains current with global regulatory requirements, has a current working knowledge... ...clinical research (Phase I-III) Previous audit and regulatory inspection experience...RegulatoryLocal areaRemote work
- ...Putting Patients First-Through Regulatory Excellence At Parexel, we are driven... ...serve as the primary regulatory expert across multiple clinical studies,... ...You'll Do: Regulatory Strategy & Compliance Serve as Regulatory Affairs Lead for 5+ clinical studies within a...RegulatoryLocal areaRemote work
$31 per hour
DC Lead ID2026-2370 CategoryDistribution Position TypeW&H RemoteNo... ...daily performance reports in compliance with KPI Metrics. Reviews... ...safety, environmental, and regulatory guidelines and rules for assigned... .... We conduct regular pay audits using external market data and...RegulatoryLocal areaShift work$78.4k - $129.4k
...maintain security, stability, and compliance for mission-critical... ...disruption while meeting policy and regulatory requirements. The specialist... .... Key Responsibilities Lead assessment, testing, and... ...reporting methods to support audits, assessments, and continuous...RegulatoryPermanent employmentContract workWork at office- ...an experienced Export Control and Trade Compliance Advisor to support international... ...and industries on export control systems, regulatory alignment, internal compliance programs,... ...DUTIES AND RESPONSIBILITIES: Provide expert guidance on the design and implementation...RegulatoryFor contractorsRemote work
- ...future opportunities within our Regulatory team. Candidates may be... ...decisions and sustained regulatory compliance. In this consultative role,... ...with clients, internal experts, and global teams. As a Regulatory... ...and comments from client. Lead the client's internal process...RegulatoryLocal areaImmediate startRemote work
$22.3 - $28.8 per hour
...balance is zero. The Lead, Coding & Billing... ...Imaging. - Apply expert knowledge of ICD-10... ...for accuracy and compliance. - Perform quality audits (routine, pre-bill,... ...payer and regulatory updates to staff and... ...10-CM, CPT, HCPCS, Medicare, Medicaid, Managed...RegulatoryHourly payTemporary workLocal areaImmediate startFlexible hours- ...value with AI. What You'll Do As a Compliance Analyst, you will play an important role... ...stakeholders meet their security and regulatory obligations with confidence. In this... ...controls to support internal and external audits and certification activities. Coordinate...RegulatoryPermanent employmentRemote workFlexible hours
$120.1k - $251.6k
...Health Federal Consulting team is seeking a Lead Project Manager to oversee and... ...successfully integrated while meeting all compliance, security, and access requirements unique... ...dental, and vision insurance, including expert medical opinion Short term disability...Contract workTemporary workFlexible hours
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