Research compliance program benchmarks and requirements.
Write/maintain compliance policies and program descriptions.
Assist compliance vendor oversight activities.
SmithRx is a rapidly growing, venture-backed Health-Tech company aiming to disrupt the PBM sector. They have a mission-driven and collaborative culture that inspires employees to transform the U.S. healthcare system.
Take the lead on complex regulatory projects that drive strategic decisions across key states.
Manage compliance research, solve challenging regulatory issues, and partner with leadership to ensure the company stays ahead of evolving laws.
Influence risk mitigation, process improvements, and state-level strategies, making a real impact on the business.
Liberty Mutual strives to craft a workplace where every employee is valued and supported. They achieve this by prioritizing a wide range of perspectives, comprehensive benefits, workplace flexibility, professional development, and employee resource groups.
Responsible for ensuring that the Value Hub adheres to regulatory standards, contract requirements, and internal quality benchmarks.
Analyzing compliance data, preparing detailed reports, and working closely with various departments to maintain and improve compliance and quality standards.
Supporting the understanding of local regulatory requirements, completion of local audits, participation in quality committees, and supporting health plan needs and interactions to ensure consistent implementation of contractual obligations.
CommonSpirit Health has more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside their hospitals and out in the community.
Leads a team providing guidance on risk assessment methodologies.
Partner with tech-product-analytic teams to design and maintain sophisticated risk algorithms.
Develop a roadmap that defines the path to operationalize specific actions.
Aledade empowers independent primary care as the largest network in the country. They help practices, health centers, and clinics deliver better care to their patients and thrive in value-based care with a collaborative, inclusive, and remote-first culture.
Design and/or enhance targeted and annual risk assessments.
Construct specific and effective auditing and monitoring workplans based on risks identified.
Analyze compliance outcomes and ensure detected issues are referred for remediation.
SmithRx is a rapidly growing, venture-backed Health-Tech company aiming to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector. With hundreds of thousands of members onboarded, they foster a mission-driven and collaborative culture, dedicated to transforming the U.S. healthcare system.
Monitor federal and state laws impacting government programs.
Provide cross-functional guidance for compliance with legal requirements.
Coordinate and support compliance audits, ensuring timely responses.
CareCentrix is focused on healthcare at home, aiming to simplify care delivery and management. They offer services like home health, durable medical equipment, and home infusion, managing care for over 19 million members across the U.S. and Puerto Rico.
Oversees the work of Learner Compliancy specialists and supports their development and performance management.
Ensures consistent execution of compliance workflows across all learner populations, including extended-term courses.
Monitors and evaluates team KPIs to ensure compliance targets are met or exceeded.
Nightingale Education Group focuses on higher learning in healthcare professions. They elevate education, health, and employment systems through academic achievement, personal growth, and professional development of learners, alumni, and collaborators, while serving diverse communities.
Develop and implement elements that support FUJIFILM’s Medical Device Compliance Program.
Draft, update, and maintain compliance-related policies, procedures, and guidelines.
Conduct healthcare, anti-corruption, antitrust and anti-money laundering compliance policy, and procedure assessment.
They are redefining innovation across healthcare, photography, semiconductors, and data storage. Fujifilm is a global company headquartered in Tokyo with over 70,000 employees across four key business segments.
Develop and oversee the global compliance program.
Build scalable governance structures and policies
Advise leadership on emerging compliance risks.
Jobgether is a platform that uses AI to match candidates with jobs. They ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements.
Identify and report anomalies and trends in risk mitigation findings.
Help validate the identities of our experts and investigate anomalies.
Conduct thorough investigations of potential compliance violations.
Third Bridge is a market-leading investment research firm that provides private equity firms, hedge funds, and strategy consultants with the information they need to understand the value of their investment opportunities. They serve over 1,000 investment firms, offering clients 24/7 coverage through their team of 1,500+ employees located across eleven offices and are committed to creating an inclusive environment and is proud to be an equal opportunity employer.
Provide tactical legal advice and support to internal clients.
Advise internal clients regarding compliance with regulatory requirements and corporate policies.
Develop and facilitate legal training and investigate issues as needed.
Jobgether leverages AI to match job seekers with opportunities. They focus on streamlining the hiring process for both candidates and employers, ensuring a fair and efficient experience.
Conducting conflict of interest reviews including current and post-government employment.
Triaging RTX Corporate matters that come in through the RTX Speak Up Helpline.
Recommending and implementing enhanced processes around selection, training, recertification, and engagement with the RTX Corporate ECO population.
RTX Corporation is an Aerospace and Defense company that provides advanced systems and services for commercial, military and government customers worldwide. Its 185,000 employees enable the company to operate at the edge of known science as they imagine and deliver solutions that push the boundaries in various technological fields.
Provide guidance for Affirm’s Product and Operations teams on applicable regulatory requirements related to any changes to products or services, issue remediation, and marketing reviews.
Review and approve financial services marketing materials to ensure they comply with regulations and industry standards.
Support responses to regulatory and bank-partner inquiries, audits, and examinations through second-line reviews and documentation/evidence.
Affirm is reinventing credit to make it more honest and friendly, giving consumers the flexibility to buy now and pay later without any hidden fees or compounding interest. The Legal, Compliance, and Public Affairs team is a group of dedicated professionals committed to helping Affirm scale, innovate, and provide outstanding products for consumers, merchants, and key partners.
Develop and lead the enterprise compliance strategy aligned with institutional growth plans and regulatory expectations.
Oversee preparation and submission of substantive change applications and institutional reporting requirements.
Establish enterprise compliance training framework for corporate and campus leaders.
Cotulla Education transforms lives through hands-on, career-focused education. They empower students to achieve their professional dreams in high-demand fields. With experienced faculty providing personalized support, their graduates emerge as future leaders ready to make a significant impact.
Conduct operational, compliance, financial and investigative audits.
Review audit work papers and communicate the results of projects.
Identify audit issues and recommend improved internal controls.
Humana Inc. is committed to putting health first – for our teammates, our customers and our company. Through Humana insurance services and CenterWell healthcare services, they make it easier for the millions of people they serve to achieve their best health.
Collaborate with implementation teams and external customers to ensure data integrity and interface validation for symplr software solutions.
Analyze and manage patient healthcare data for consistency and accuracy while configuring system software during implementation projects.
Leverage analytical, technical, and communication skills to define processes for clinical data management and assist customers in achieving their organizational goals.
Symplr is revolutionizing healthcare operations with a first-of-its-kind platform that drives effective, efficient, and connected workflows, increasing operational benefits and scaling clinical, financial, and quality outcomes. We are a remote-first company with employees across the United States, India, and the Netherlands.
Perform comprehensive review and oversight of medical records for Risk Adjustment compliance keeping with CMS and departmental guidelines with a 95%+ accuracy rate
Collaborates with a variety of internal and external clients, including health care executives, physicians, provider office personnel, and payer representatives from various health plans to streamline and optimize accurate diagnosis code capture.
Reviews medical records and billing history to determine if specific disease conditions were correctly billed and documented.
Capital Blue Cross promises to go the extra mile for their team and community. Employees consistently vote them one of the “Best Places to Work in PA” and they recognize that work is a part of life, not separate from it, and foster a flexible environment.
Provide regulatory compliance risk assessment and consultation.
Assist financial services clients in strengthening their compliance management systems.
Conduct regulatory compliance testing for federal consumer compliance regulations.
Wipfli provides accounting and consulting services. Their people are the core of their business, and they focus on relationships while encouraging individuals to follow their own path.
Assist in drafting, reviewing, and revising contracts to ensure accuracy and compliance.
Support negotiations by preparing documentation and analyzing proposed terms.
Maintain centralized systems for tracking contract status, renewals, and compliance requirements.
Teleios Collaborative Network (TCN) appears to be an organization focused on healthcare and committed to anti-racism, diversity, equity, and inclusion. They aim to foster a safe and transformational environment for staff and patients.