The Compliance Officer contributes to AHF by instituting and maintaining an effective compliance program for the organization's Medicare and Medi-Cal managed care plans and Ryan White programs that includes policies and procedures; standards of conduct; fraud, waste and abuse monitoring and reporting; and HIPAA. As part of the Care Management Division's executive management team, the Compliance Officer stays abreast of regulatory changes and requirements related to operations and guides Division leaders on needed changes to polices and procedures and reporting. The Compliance Officer leads internal and external audit preparation and activities and oversees the timely preparation and submission of reports to regulatory agencies.
The Compliance Officer enhances the reputation of AHF by ensuring that Care Management Division operations are compliant with Centers for Medicare and Medicaid (CMS), California Department of Health Care Services (DHCS), California Department of Managed Health Care (DMHC) and Ryan White program funder regulatory and contract requirements, which in turn maintains enrollee, patient, provider, and funder satisfaction with the organization. You will be a passionate advocate for our top initiatives....utilization, and cost across a blended domestic and global delivery workforce, including offshore and scaled operational teams.Collaborate with talent acquisition to support hiring strategies that align with business needs and talent market conditions.Employee & Labor RelationsAddress...
...School-Based Registered Nurse ~$37-$42/hour Position Summary: We are seeking a skilled and compassionate School-Based Registered Nurse at COFK!The RN will play an essential role in ensuring the health, safety, and well-being of students by providing direct...
..., United StatesCapabilities: Project ManagementOffice Setup: HybridSalary... ...ENR's highly ranked Program Management firm, then Jacobs is where... ...belong.We are looking for a Healthcare Transition Project Manager to... ...working with executive level leadership and reporting on project...
...Environmental Health & Safety (EHS) Specialist (1710665) $57k-$70k+ per year Burlington, WA Full Time; Direct Hire Summary... ...Essential Duties and Responsibilities - Comply with all occupational health and safety (OHS) guidelines. - Inspect worksites and...
...Foothills employee, benefits include:FREE use of our recreation/fitness centers, swimming pools, and ice arenaFREE drop-in fitness... ...participate in 401(k) planAbout UsCreating Community, Enhancing Health, Inspiring Play! We fulfill our mission by providing a variety...