Act as the compliance point of contact for new alternate payment model initiatives, providing compliance guidance.
Stay informed on legal and regulatory changes, ensuring organization departments align with them.
Coordinate across departments to implement compliance mechanisms, meeting contractual commitments.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. The final decision and next steps (interviews, assessments) are managed by their internal team.
Maintain oversight over a specified panel of members by performing ongoing assessments.
Create comprehensive care plans addressing members' needs and conducting regular follow-ups.
Ensure achievement of targeted goals related to patient outcomes and care plan realization.
Jobgether is a company that uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Research and interpret state and federal reporting requirements.
Communicate changes to internal teams and customers.
Conduct quality assurance testing and compliance training.
Skyward builds software solutions for K-12 schools, helping students, teachers, and school administrators succeed. They foster a work environment with teamwork, enthusiasm, continuous improvement, and fun, offering opportunities for career growth.
Lead and oversee a team on execution of all aspects of regulatory and client audits.
Interface with external clients and regulatory bodies to address inquiries.
Coordinate across teams to document and ensure timely completion of corrective actions.
We are currently looking for a Compliance Manager - REMOTE. As part of the Audit and Corrections team, the Compliance Manager will oversee audit engagements and corrective actions while driving a culture of compliance throughout the organization.
Co-ordinate and compile regulatory submissions and agency correspondence for assigned projects
Implement action plans to achieve timely approval of submissions ensuring compliance
Participate in and support project teams to achieve regulatory goals
Jobgether is acting as a job platform partnering with other companies. They utilize an AI-powered matching process to ensure fair application reviews, identifying top candidates for client companies, though final hiring decisions are managed by the client's internal team.
Establish and maintain licensing processes for Physicians, Nurses, and Licensed Mental Health providers.
Monitor progress and approval of submitted licenses ensuring timely completion.
Serve as the primary point of contact for all matters related to licensing.
TimelyCare provides virtual medical and mental health support. They foster a supportive team culture with a mission-driven purpose and are an equal opportunity employer.
Oversee the Enterprise Export Control Compliance Program and ensure adherence to applicable Export Control and Research Security regulations.
Collaborate with various departments to provide expert guidance and support for compliance initiatives.
Contribute to the organization's mission to provide patient-first care while managing risks related to export regulations.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They use AI tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses.
Provides policy expertise related to systems or products.
Communicates Medicaid program insight to UX researchers and designers.
Analyzes laws and policy documents and explains their impact.
A1M Solutions is a woman-owned small business focused on providing value to customers, employees, partners, and the community, while remaining aligned to its guiding principles. A1M’s mission is to preserve and improve government healthcare programs for underserved people in the United States, focusing on projects with nation-wide impact at the intersection of policy, data, and user experience design.
Build and mature core elements of Rula’s enterprise Compliance Program.
Ensure adherence to federal and state healthcare regulatory requirements across Rula’s clinical operations.
Lead compliance risk assessments and internal controls; oversee investigations and corrective action processes.
Rula is dedicated to treating the whole person and aims to create a world where mental health is no longer stigmatized. Rula is a remote-first company that is passionate about making a positive impact on the lives of those struggling with mental health issues.
Authorizes and reviews utilization of mental health and substance abuse services.
Collects and analyzes utilization data and assists with discharge planning and care coordination.
Provides member assistance with mental health and substance abuse issues, and participates in quality improvement projects.
Magellan Health, Inc. is committed to making a difference in the healthcare industry and communities. They value professional growth and development, total health and wellness, rewards and recognition, as well as employee unity, offering a place where you can thrive.
Administer day-to-day health and welfare benefits including new hire enrollments and terminations.
Manage leave administration lifecycle and ensure compliance with federal regulations.
Partner with HRBPs on leave planning and return-to-work strategies.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Final hiring decisions are ultimately made by humans.
Implement action plans for approval of submissions.
Improve internal processes and foster relationships.
They are a company using AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Navigate the Medicare system for patients and caregivers.
Manage care coordination and logistics, including specialist visits.
Advocate for patients by identifying billing errors and cost-saving programs.
Carewell is dedicated to providing a trusted retail source for caregiving products, offering expert-vetted items like incontinence supplies and mobility aids. They are recognized as one of the fastest-growing companies in the US, committed to improving teams, partnerships, and solutions.