Healthcare Compliance Associate - CMS & Fraud Oversight
Byrne Dairy
Byrne Dairy in Syracuse, NY is seeking an Assistant Regulatory Compliance Officer to support the Regulatory Compliance Officer in enforcing fraud and abuse laws and providing guidance to all employees. The ideal candidate will possess deep knowledge of CMS regulations, state and federal rules, and the ability to communicate complex compliance concepts clearly to leadership, staff, and collaborators. #J-18808-Ljbffr Byrne Dairy
- ...Assistant Regulatory Compliance Officer Job Summary: The Assistant Regulatory... ...on compliance with pertinent fraud and abuse laws and... ...include a deep understanding of CMS (Medicare/Medicaid) regulations... ...: Bachelor's degree in Healthcare Administration, Business or related...CmsFraudWork at officeMonday to Friday
- Manager, Compliance and Regulatory Affairs About... ...We Are At Suvida Healthcare, we are not just... ...accountability for oversight over the day-to-day... ..., Medicaid, CMS, OIG guidance, Stark... ...violations, and potential fraud, waste, or abuse.... ...to mitigate risks associated with business...CmsFraudContract workTemporary work
$98.59k - $157.66k
...so many examples of enhancing healthcare delivery and shaping a... ...every day. Job Summary The TPR Compliance Officer has responsibility for... ...in auditing, monitoring and oversight of processes related to identified... ...to report suspected fraud or other improprieties without...FraudFor contractorsLocal areaRemote workRelocation packageFlexible hours- The Director of Regulatory Compliance at Nascentia Health is responsible for managing compliance... ...care lines, ensuring adherence to CMS, Medicare, and Medicaid regulations. The... ...rigorous compliance measures and collaborative oversight with leadership. #J-18808-Ljbffr...Cms
- Description Summary: The Compliance Analyst serves as a... ...investigations into fraud, waste, abuse, and compliance... ...audits, including CMS, TDI, OIG, OCR, and... ...knowledge of relevant healthcare laws and regulations.... ...Verification Policy, all Associates are required to obtain...CmsFraudFull timeMonday to Friday
$108.6k - $135.36k
...Director of Regulatory Compliance is responsible for the operational oversight and execution of the organization... ...ongoing adherence to CMS, NYS Department of... ...incidents, and potential fraud, waste, and abuse concerns... ...Minimum of 5-7 years of healthcare compliance, regulatory,...CmsFraudTemporary workWork at office$115k - $135k
...depressive disorder, agitation associated with dementia due to... ...is seeking a Manager, Compliance. Reporting to the... ...of the Company’s healthcare compliance program, with... ...of the FDA, OIG, and CMS. This is a field-based... ..., sales and marketing fraud and abuse issues, OIG...CmsFraudLocal area$31.73 per hour
Job Summary The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of,... ...and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations...CmsWork experience placementLocal areaImmediate start$38 - $40 per hour
...analytical, and passionate about accuracy? We're seeking a Compliance Specialist to support regulatory compliance initiatives within a healthcare environment. This role focuses primarily on Sunshine Act (CMS Open Payments) reporting, data reconciliation, and compliance...CmsWork at officeLocal areaMonday to Friday- Job TitleWith level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, utilization management or utilization review, and interfacing with health care payers/regulatory agencies.Cms
$28 - $32 per hour
...operations, regulatory compliance, and quality improvement... ...compliance with CMS Conditions of Participation... ...New York (required). Associate's degree or higher in Nursing or Healthcare Administration preferred... ...with frequent regulatory oversight. May require extended...CmsFull timeWork at office$75.25k - $87.14k
...o OASIS completion in accordance with CMS guidelines o Clear, concise, and... ...staff as applicable and: o Provide oversight and supervision of home health aides... ...care and long-term community health. A healthcare system without walls, Nascentia is an innovator...CmsTemporary workWork at officeImmediate startRelocation packageFlexible hours- Global Compliance is dedicated to protecting the reputation of the firm and managing risk across... ...sanctions violations, bribery, fraud and other misconduct (including insider... ...sustainable program that monitors and provides oversight for regulatory and reputational risk....FraudWork experience placement
$1,488 - $2,155.2 per month
...Pay: up to $1,488 to $2,155.20 gross pay per week Premiere Healthcare Staffing is here to help you on your career journey! We place talented... ...according to department protocols, HFAP/TJC/local regulatory/CMS, State and Federal Regulations. Functions as the first line...CmsFull timeLocal areaImmediate startFlexible hoursShift workNight shift- ...in a skilled nursing facility, rehabilitation, long-term care or related healthcare setting (recommended)Knowledge of theory, practice and principles of clinical care (recommended)Knowledge of CMS guidelines and DOH reporting and investigation standards (recommended)Weekend...CmsNight shiftWeekend workAfternoon shift
- ...in a skilled nursing facility, rehabilitation, long-term care or related healthcare setting (recommended)Knowledge of theory, practice and principles of clinical care (recommended)Knowledge of CMS guidelines and DOH reporting and investigation standards (recommended)Weekend...CmsNight shiftWeekend workAfternoon shift
- ...Dallas, TX/Grapevine, TX About Bloom: Bloom Healthcare is a pioneering and employee-owned... ...generated outstanding quality results in CMS Innovation Center models compared to our... ...implementation of Bloom's market strategy Oversight and management of all respective call...Cms
- ...documents, and governs standard methods to analyze healthcare claims in order to identify potential fraud, waste, and abuse. The technical product owner is... ...remains accurate, performant, and aligned with evolving CMS data structures. This role gathers business cases...CmsFraudWork at office
- ...professionals committed to our core values of quality, compassion, and community! Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.Dallas...CmsWork experience placementLocal area
$80k - $90k
...Senior Compliance Auditor - RN (Remote)At Elara Caring... ...Join our elite team of healthcare professionals, providing... ...secondary review/oversight of PCS policy development... ...guidelines, and related CMS questions and concerns... ....What is Required?Associate or Bachelor of Science...CmsLocal areaRemote work- Works with Enterprise Security and Fraud subdivisions and business units as the technical... ...of the portfolio. Responsible for oversight of management and decisions related to methodology... ...and fraud capabilities.Works with Compliance and Regional Security and Fraud teams to...FraudFull timeWork experience placement
- ...Risk & Compliance AnalystAFF Compliance is seeking a highly motivated Risk & Compliance Analyst to support... ...ResponsibilitiesSupport and execute Second Line of Defense (SLOD) oversight activities, including Compliance Management System (CMS) administration, issue management, complaint...CmsWork at office
$164.28k - $187.75k
Senior Healthcare Project Manager - PM/CMSTV, a leading architecture, engineering, and construction... ..., and providing strategic oversight to ensure successful delivery aligned with... ...forums, and industry engagements.· Ensure compliance with contractual requirements,...CmsFull timeContract workFor contractorsFlexible hours- ...-quality service delivery, compliance with healthcare regulations, and continuous... ...providing mentorship, performance oversight, and operational support.... ...Ensure adherence to HIPAA, CMS, and other healthcare... ...High School Diploma required; Associate’s or Bachelor’s in...CmsWork at office
$100k - $152k
...provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We... ...process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application...FraudFull timePart timeImmediate startWorldwideNight shiftWeekend work$30k - $60k
...facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on... ...and their families Knowledge of CMS Regulations and NCQA HEDIS Guidelines... ...Document accurate medical records to ensure compliance with OSHA and Government regulations and...CmsPart time1 day per week$102.5k - $285.5k
...Biotech is seeking an Associate Clinical Project Management... ...materials and compliance with system updates, standard... ...as primary project oversight and/or contact with... ...commercial insights and healthcare intelligence to the life... ...policy for candidate fraud. All information and...FraudFull timeContract workPart timeLocal areaImmediate startWorldwide$25k
...documentation quality, and regulatory compliance, working onsite in-office.... ...(HCHB) experience. CMS PDGM billing knowledge and/or... ...support whole-person well-being. Associate benefits are designed to... ...personal wellness and smart healthcare decisions for you and your family...CmsTemporary workApprenticeshipWork at office$25 - $32 per hour
...graduates are encouraged to apply!) Knowledge of DOH regulations and CMS guidelines (recommended, but not required) Physical Therapist... ...dynamic team today! If you are a dedicated and compassionate healthcare professional looking for a rewarding career, we encourage you...CmsHourly payFull time- ...remediation and goals in daily activities To complete compliant and medically necessary documentation from CMS expectations in NetHealth EMR systems Oversight and implementation of proper protocols for FEES/MBS with coordination of site programs Participants in screening...CmsFull timeTemporary workPart timeReliefLocal area
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