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Document and communicate audit findings to management and recommend corrective actions to improve compliance. Provide staff education on privacy standards, compliance policies, and regulatory requirements. Review, investigate, and respond to facility inspections and/or deficiencies issued by regulatory agencies.

SimonMed Imaging is the fastest growing outpatient radiology practice in the Nation and is committed to excellence and improving patient care.

Oversee the operations of the Imagine Pediatrics Onboarding, Credentialing, Licensing, and Enrollment Department. Develop and train on policies and procedures, workflows, and training documentation for the team. Manage Delegated Credentialing arrangements - implementation and audit – as well as ongoing Delegated partnerships with health plans.

Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs.

Conducts medium- to high-complexity investigations into alleged fraud, waste and abuse. Assists with the administration of Program Integrity activities. Supports the execution and oversight of moderate- to high-complexity privacy-related compliance activities.

Central California Alliance for Health is an award-winning regional Medi-Cal managed care plan providing health insurance to residents in multiple counties.

• Complete monthly utilization management and appeals performance and process audits.
• Present audit results to leadership to address issues.
• Assist management in identifying, evaluating, and mitigating risks.

Judi Health provides a comprehensive suite of solutions for employers and health plans. They offer full-service health benefit management solutions and consolidate all claim administration-related workflows in one scalable, secure platform.

• Assess compliance risks and controls through monitoring and testing.
• Prepare and communicate compliance testing results to Compliance Management, Business Units, and Management Committees.
• Collaborate with Compliance and Line of Business management to develop corrective action plans to remediate compliance findings.

Forbright is a nationwide full-service bank and commercial lender focused on helping to build a brighter future for our clients and the communities we serve.

• Oversee and manage all aspects of regulatory compliance within our organization.
• Develop and implement compliance policies and procedures, conduct audits and assessments, provide guidance to employees, and serve as a liaison with regulatory agencies.
• Ensure that our company operates in accordance with all relevant laws, regulations, and industry standards.

Truelogic is a leading provider of nearshore staff augmentation services headquartered in New York. Their team of 600+ highly skilled tech professionals, based in Latin America, drives digital disruption by partnering with U.S. companies on their most impactful projects.

Oversee regulatory operations across our expanding national footprint. Guide state higher education approvals, partner with campus and executive leaders. Shape the regulatory framework that supports our mission to transform nursing education.

Arizona College of Nursing transforms people’s lives by preparing them for careers in nursing and improving communities through the care its graduates provide.

• Lead and oversee Prior Authorization Operations across all lines of business.
• Manage Prior Authorization processes ensuring optimal efficiency and compliance.
• Drive cross-functional collaboration to align with organizational goals.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.