Medicare Regulatory & Coding Expert — UM/ACD Specialist
Acentra Health
Acentra Health is seeking a Medicare Regulatory and Coding Expert Associate to join our team in a regulatory coding capacity. You will manage an internal ACD database, monitor CMS transmittals, and collaborate with clients and claims administrators to ensure compliance and accuracy. The role requires applying medical necessity criteria, maintaining QA standards, and ensuring HIPAA compliance while supporting utilization management initiatives and producing timely, accurate guidance for clinical #J-18808-Ljbffr Acentra Health
- ...SAFETY & PHARMACOVIGILENCE SPECIALIST (2 positions) Job Title: Safety and PV Specialist x... ...for the reporting of adverse events to regulatory agencies Develops and ensures the uniform... ...of safety databases and/or MedDRA coding preferred. ~ Experience leading clinical...RegulatoryPermanent employmentContract workSecond jobWork at officeRemote work
- ...maintaining the accuracy, integrity, and regulatory compliance of the organization's Charge... ...Finance, Clinical Operations, Compliance, Coding, and Information Technology teams to... ...implications.Serves as a billing and coding expert for the department by: providing...Regulatory
- ...Senior Coding Specialist Healthcare Legal Solutions is seeking an experienced Senior Coding... ...help operationalize coding guidelines, regulatory requirements, and client policies;... ...overturn denials. Interpret and apply Medicare, Medicaid, and commercial payer rules...Regulatory
- Responsibilities:- Working with clients (ISSOs and CISO) to develop regulatory strategies and plans for federal agency- Crafting, authoring, and editing regulatory submissions- Working with an internal project team and client to meet regulatory deadlines, respond to issues...RegulatoryWork experience placementShift work
- ...Bethesda, MD seeks a Safety & Pharmacovigilance Specialist I to join our clinical research team on-site. You... ...at least 2 years in pharma/biotech, familiarity with MedDRA coding and safety databases, and the ability to support regulatory #J-18808-Ljbffr Piper CompaniesRegulatory
- Job Title S & P Specialist Location Bethesda, MD 20817 US (Primary) Category Drug Safety Job... ...for the reporting of adverse events to regulatory agencies Develops and ensures the... ...Knowledge of safety databases and/or MedDRA coding preferred Experience leading clinical and...RegulatoryFull timeWork at officeLocal areaRemote work
- ...candidate to join our talented Team. Job Title: Risk Management Expert Location(s): McLean, VA Job Summary:We are seeking a highly... ...:Experience with risk management standards.Familiarity with regulatory requirements and compliance.Ampcus is an Equal Opportunity Employer...Regulatory
$120k - $150k
Job DescriptionEverforth ECS is seeking a Functional Expert I to work in our Arlington, Virginiaoffice. Salary Range: $120,000 - $150... ...multidisciplinary support personnel while maintaining fiscal discipline, regulatory compliance, and continuity of execution.Help prepare program...RegulatoryWork at office$220k - $270k
...Office of the Secretary of Defense, Interagency Division provides expert support services to a range of customers spanning across the... ...is interested in a senior program management professional with regulatory compliance authority and demonstrated leadership in complex R&D...RegulatoryWork at officeFlexible hours- ...payer reimbursement policies and procedures, regulatory and administrative rules. Coordination of patient access experience. Expert knowledge of specialty products,... ...healthcare/ insurance experience. Billing/Coding background in buy and bill and Specialty Pharmacy...RegulatoryShift work
- ...DescriptionProSidian Consulting seeks a FOIA Subject Matter Expert to support and participate in a project... ...Seven (7) years’ experience in law and regulatory compliance• Understanding and familiarity... .... Be sure to place the job reference code in the subject line of your email. Be...RegulatoryFull timeFor contractorsInternshipWork at office
- ...tremendous scale. We enable Health Plans to meet regulatory requirements, improve care coordination... ...resides in our broader “Subject Matter Expert” team. This team was formed as a result... ...understanding of:Medicaid & Medicare program structuresCMS oversight and compliance...RegulatoryPermanent employmentWork experience placementWorldwide
- ...an Operations Management Subject Matter Expert to support and participate in a project supporting... ...impact of existing and proposed regulatory considerations, approvals required by main... ...CONSIDERED. Be sure to place the job reference code in the subject line of your email. Be...RegulatoryFull timeFor contractorsInternshipWork at office
$149.3k - $201.4k
Amazon is seeking an innovative and high-judgement Privacy Specialist to join the Regulation Technology and Assurance (RTA) team within... ...developments of relevant privacy laws, customer expectations, and regulatory guidance to identify and communicate key trends and to protect...RegulatoryWorldwideFlexible hours$89.59k - $197.46k
...currently seeking a Senior Associate, Credit Specialist to join our Audit practice.... ...procedures in accordance with relevant regulatory professional auditing and assurance standards... ...abilitiesAdhere to the firm's values and code of conductAbility and willingness to travelMust...RegulatoryH1bLocal area- ...contact with customers, subcontractors, and internal stakeholders throughout the lifecycle, ensuring compliance with FAR/DFARS and regulatory requirements. You will lead contract negotiations, analyze complex bid tenders, and collaborate with senior management. #J-18808...RegulatoryContract workFor subcontractor
- Aretum is seeking a detail-oriented Senior FOIA Specialist to support the Freedom of Information Act program within a federal contracting context. This remote role may involve occasional travel under 10% and requires a JD with substantial FOIA processing experience. Candidates...Remote job
- ...timeDescriptionClient Solution Architects (CSA) is currently seeking an Specialist II to support onsite in the Arlington, VA area.For nearly 50... ....Ensure all deliverables comply with applicable statutory, regulatory, and command-specific requirements and contribute to audit...RegulatoryContract workFor contractorsWork at office
- ...safety industry leader. We are expert FERC Part 12 Dam Safety... ...Hydropower Practice engineering and regulatory team offers core services... ...environmental scientists and regulatory specialists. Hydropower generation is... ...have limited or no specific code based guidance.Work with...RegulatoryContract workWork at officeFlexible hours
$20k
...BSA/AML Specialist x 2 – Contract – Remote – $28.00 - $32.0/hr. The final salary or hourly wage, as applicable, paid to each candidate... ...submit Currency Transaction Reports (CTRs) within required regulatory timeframes. • Review daily internal referrals, including...RegulatoryHourly payContract workLocal areaRemote workWork from homeVisa sponsorship$122.1k - $164.8k
...based on this focus. This leader acts as a privacy subject matter expert and works with business, legal, and technology stakeholders to... ...improve the documentation team program• Apply global privacy regulatory and operational expertise to Ops to embed a consistent customer...RegulatoryFlexible hours- ...Who YOU AreYou’re a dedicated Fire Safety Specialist with a strong commitment to ensuring the... .... With your extensive knowledge of fire codes, standards, and best practices, you play... ...function optimally and comply with regulatory requirements.At KBR, you bring a detail-...RegulatoryFull timeContract workLocal areaShift workNight shift
- AV is seeking a Trade Compliance Officer to lead day‑to‑day export compliance activities, ensuring adherence to US regulatory requirements and internal policies. You will manage license applications, maintain classifications, and coordinate with shipping, legal, and TC...RegulatoryRemote job
- ...Opportunity:Tetra Tech is adding a Title 22 Specialist to our Tetra Tech team based in... ...complex challenges. Our industry-leading experts in engineering and consulting are committed... ...processes, and ability to interpret statutory/regulatory requirements into practical program...RegulatoryContract workFor contractorsWork at officeWorldwide
$125.8k - $170.2k
...Authorization (WA) team is looking for a Senior HR Specialist to drive service delivery excellence and... ....This role is the U.S. subject matter expert on work authorization regulations,... ...I-9 and E-Verify requirements. Monitor regulatory changes, particularly U.S. immigration...RegulatoryTemporary workWork at officeFlexible hoursShift work- ...Legal Specialist We are looking for candidates with 1-5 years of experience ideally with knowledge of legal regulations, court orders... ..., and member information to ensure accurate processing and regulatory compliance. Monitor queues and workloads to ensure timely processing...RegulatoryLocal area
- ...and local regulations and/or guidelines, the Tissue Recovery Specialist 1 will perform a variety of duties associated with the surgical... ...Employees must arrive onsite at the start of the shift. Mandatory and regulatory competencies, as well as meeting attendance along with...RegulatoryWork at officeLocal areaShift workNight shiftWeekend workDay shift
- ...McLean, VA is hiring a Pharmacist to deliver clinical services such as immunizations and MTM interventions, ensuring compliance with regulatory guidelines and Walgreens policies. You will engage patients, greet and assist, provide counseling on medication management and...RegulatoryFull timeShift work
- ...position is to serve as the senior specialist and Subject Matter Expert(SME) for the ISR Tools Branch within... ...the branch complies with legal and regulatory requirements and meets customer needs... ..., Chap 83 of Title 10 United States Code which sets forth Air Force policies...RegulatoryFull timeTemporary workPart timeWork experience placementWork at officeTrial periodRelocation packageShift workAfternoon shift
- ...User Interface Subject Matter Expert (SME) / UI Team Lead Active Secret clearance required. 100% on-site Nationwide IT Services... ...development activities, including sprint planning, design reviews, code reviews, testing, and release planning. Recommend...For contractorsWork at office
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