Execute non-delegated credentialing process for new and existing providers.
Serve as a point of contact for all insurance payor relationships.
Maintain accurate and up-to-date records of all credentialing activities.
Dental Care Alliance's mission is to advance the practice of dentistry by partnering with and supporting dental professionals to create a lifetime of healthy smiles. Headquartered in Sarasota, Florida, DCA supports over 400 allied practices and supports over 900 dentists across over 20 States.
Act as the subject matter expert for assigned Central America countries.
Process end-to-end in-house payroll, including data collection, validation, calculations, approvals, payments, and statutory compliance.
Partner with internal stakeholders to ensure smooth operations and alignment.
Remote enables businesses of all sizes to recruit, pay, and manage international teams. They are future focused and have a global, asynchronous work culture.
Accurately assigning ICD-10, CPT, HCPCS, ASA, and modifiers for infusion services.
Reviewing medical documentation to ensure proper coding and compliance.
Staying up to date with third-party payer regulations and compliance guidelines.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions. They are committed to exceptional care and empower their team to thrive while living their core values.
Conduct ongoing risk reviews and maintain an up-to-date risk register.
Support risk assessments across critical business processes and systems.
Partner with stakeholders to develop and track risk mitigation plans through resolution.
Radicle Health offers human services software products to foster collaboration and innovation, aiding organizations in better serving communities. They believe technology is crucial for the human services sector's success, housing mission-driven products that support organizations in delivering essential services.
Strengthen fraud monitoring and detection capabilities.
Coordinate with external partners to support fraud recovery.
Fidelity National Financial (FNF) is seeking a Fraud Operations Lead to join the Compliance organization and lead the development, coordination, and maturation of the company’s enterprise wire fraud prevention, detection, and response capabilities. The ideal candidate brings strong operational leadership experience in security, compliance, or technical operations environments and is focused on delivering tangible outcomes such as improved control effectiveness, earlier fraud detection, and measurable reductions in fraud exposure.
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.