Healthcare Compliance Manager
Virtual Vocations Inc
Leading compliance oversight in a remote capacity, the full-time Manager of Revenue Cycle & Compliance will manage audits, analyze data, investigate patient complaints, and coordinate external payer audits throughout the DME order-to-payment lifecycle. Key responsibilities Independently develop and execute risk-based audits, maintaining reproducible workpapers and supported conclusions Review and assess documentation related to intake, eligibility, benefits verification, and payer requirements across the order lifecycle Lead compliance investigations and coordinate responses to Medicare and commercial payer audits, ensuring documentation quality and completeness Required qualifications Bachelor's degree in healthcare administration, accounting, finance, business, or a related field, or equivalent relevant education and experience At least five years of experience in healthcare compliance, reimbursement audit, or revenue integrity, including direct Medicare DMEPOS experience Practical knowledge of the DME order-to-payment lifecycle, including documentation, authorizations, and patient financial protections Demonstrated ability to design and execute audits, including root-cause analysis and corrective-action validation Strong Excel skills, including data reconciliation and exception analysis, with the ability to produce clear findings reports and presentations
$107k - $126k
...moves. As we push into new, highly regulated territory within healthcare, we turn complex regulation into a competitive edge,... ...breaking things. About the Role We're seeking a Healthcare Compliance Manager to build and own our compliance program from the ground up....SuggestedContract workFor contractorsSummer workSummer holidayWork at office2 days per week- ...dynamic team, you’ll have the opportunity to collaborate with top healthcare providers in the country, applying AI-powered RPM solutions... ...generation of care models Position Summary: The Compliance Manager is responsible for building, executing, and continuously...Suggested16 hoursContract workLocal areaRemote workShift work
- ...position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Compliance Manager based in the United States. We are seeking an experienced Healthcare Compliance Manager to oversee and strengthen a...SuggestedFull timeContract workFor contractorsWork at officeLocal areaRemote work
$155k - $215k
A leading healthcare company is seeking a Manager for Healthcare Regulation and Compliance in Chicago. This role involves overseeing the company's healthcare regulatory compliance strategy, especially for its Senior Housing Operating Portfolio. Key responsibilities include...Suggested- RSM US LLP's National Healthcare Consulting practice seeks a Manager, Healthcare Reimbursement and Regulatory Compliance to join our growing team. You will advise healthcare providers on Medicare/Medicaid reimbursement, regulatory compliance, and related process improvements...Suggested
- DescriptionPosition at BayMark Health ServicesFull Time - Compliance Manager BayMark Health Services is looking for a detail-oriented and conscientious... ...and settings through our divisions: BAART Community HealthCare, Health Care Resource Centers and MedMark Services, Inc....Local area
- Garnet Health in Middletown, NY seeks an Enterprise Risk Manager to oversee adverse event reporting and risk management processes within the Legal & Risk Management team. You will analyze trends, educate clinical teams, and support claims and regulatory functions across...
- Saint James Health is seeking a Risk Management and Compliance Coordinator to ensure adherence to federal, state, and local regulations. The role oversees federal grant compliance, ambulatory care licensing, FTCA compliance, and maintains monthly board minutes. The ideal...Local area
- Homestead Health Care Center in Brunswick, Ohio, seeks a compassionate Business Office Human Resource Manager to lead interviewing, onboarding, payroll, and compliance in our long-term care facility. You will manage employee records, benefits, investigations, and relations...Work at office
- Excelsia Injury Care is seeking an Operations Manager to support the Director of Operations by coordinating scheduling, workforce administration, onboarding/offboarding, compliance, and programs across the market. The role requires exceptional organization, attention to...
- Excelsia Injury Care in St. Louis, MO is seeking an Operations Manager to coordinate provider scheduling, onboarding, and compliance across markets. The role requires strong organization, communication, and project management to support daily operations. You will partner...Work at office
- ...Description Job Description Description: Position Summary The Compliance Manager has the responsibility to assure that the Company, its... ...exist. ~ Experience in medical billing and compliance in healthcare preferred. Supervisory Responsibilities Manages...For contractors
- Omnicare, a leading provider of pharmacy services to long-term care facilities nationwide, seeks a seasoned compliance professional to strengthen our programmatic framework. You will oversee risk assessment, auditing, and monitoring activities, while navigating complex...
- ...planning and coordinating education for hospital staff. The role involves developing orientation programs, managing the education budget, and ensuring compliance training. A Bachelor's degree in nursing is required, along with current RN licensure and certifications. The...
$144k - $216k
...match, make an application. • Monitor, interpret, and analyze compliance requirements, regulatory developments, and industry standards... ...baseline requirements for compliance, security, and risk management. Job Requirement • Master's degree or above in Information...Overseas- Mass General Brigham Health Plan Holding Company, Inc. is seeking a capable project/program manager to support MassHealth regulatory reporting and governance activities. The role involves coordinating cross-department processes, maintaining calendars and documentation,...Remote job
- ...clinical laboratory. Assists Director with all compliance, quality assurance and LIS issues.... ...practices. Demonstrates the ability to manage information systems projects in assigned... ...E-Verify / Right to Work MLK Community Healthcare 1680 E 120th Street Los Angeles, CA 9005...Local area
- ...in the United States is seeking a meticulous Business Office Manager to oversee the administrative functions of the business office... ...payroll support, and coordination with families and staff within a healthcare setting, with opportunities for growth in a supportive team...Work at office
- Devereux Advanced Behavioral Health seeks a Documentation Manager to collaborate with the Director to monitor and improve center documentation, ensuring records comply with state and federal regulations. You will prioritize, schedule, and implement audits and develop systems...
- Nexus at Belleville is seeking a Business Office Manager to oversee the facility's financial and administrative operations, ensuring accurate billing, regulatory compliance, and excellent customer service. The role manages resident accounts, Medicare/Medicaid billing, private...Work at office
- Epic Healthcare is seeking a dedicated Business Office Manager to oversee the administrative functions of the business office and ensure smooth operations for... ...collections, and resident accounts, ensure regulatory compliance, and coordinate with third-party payers while...Work at office
- ...seeking an experienced Business Office Manager to oversee the facility’s financial and... ...requires strong organizational skills, healthcare billing knowledge, and the ability to support... ...ensuring accurate reporting, regulatory compliance, and smooth operation of #J-18808-...Work at office
- ...Heart Hospice is seeking a Business Office Manager to lead office operations in Texas. You... ...tasks while ensuring regulatory compliance and accurate documentation. The role requires... ...preference is noted, with benefits including healthcare and a 401k match, plus paid time off and...Work at office
- Manchester Rehab & Healthcare seeks a Business Office Manager to oversee census input into billing systems and manage Medicaid documentation. The role requires strong knowledge of healthcare financial regulations and the ability to discuss resident financial obligations...Work at office
- Bethany Care Center is currently seeking a Business Office Manager to join our team. The role focuses on accurate Medicaid billing,... ...tasks, payroll, and admissions support. The ideal candidate has healthcare cost management experience and a strong understanding of...Work at office
- ...ASSOCIATES LLC in Indianapolis seeks a seasoned Business Office Manager for a Skilled Nursing Facility. You will oversee daily billing... ..., and private pay billing while maintaining regulatory compliance and strong internal controls. #J-18808-Ljbffr SCHOFIELD&ASSOCIATES...Work at office
$68k - $90k
...Health Policy & Regulatory Affairs Manager Help shape the policies and professional standards that support high-quality neuromuscular and electrodiagnostic care. AANEM is seeking a Health Policy & Regulatory Affairs Manager to advance our reimbursement, coding, regulatory...Full timeWork at officeFlexible hours$95k - $120k
...Purpose:Leading the execution and continuous enhancement of Towne’s Compliance Assurance Program, providing effective challenge and assurance... ...:Compliance Assurance Program ManagementDevelop, manage, and submit for approval Towne’s risk-based compliance testing...Full timeWork at officeImmediate start- ...ShiftMonday - FridayJOB SUMMARYThe Director, Compliance & Privacy leads the day-to-day design,... ...EducationBachelor’s degree in healthcare administration, business, nursing, law,... ...Certified Professional in Healthcare Risk Management (CPHRM), or comparable certification preferred...Work from home
$215k - $240k
...locations.Contributes to development of global labeling documents (prescribing information and patient information).Prepares and/or manages submissions that are technically complex and require extensive interaction with departments outside of regulatory affairs.Maintains...Full timeTemporary workFlexible hours
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