Healthcare Compliance Specialist

At Blue Shield of California, we're seeking a highly skilled Healthcare Compliance Specialist to join our Facility Compliance Review team. As a key member of this team, you will play a vital role in reviewing post-service prepayment facility claims for contract compliance, industry billing standards, medical necessity, and hospital-acquired conditions/never...

Senior Healthcare Compliance Specialist Job DescriptionIn this challenging role, you will be responsible for conducting retrospective utilization reviews to ensure compliance with medical necessity and billing standards.The ideal candidate will possess strong analytical skills and effective communication to manage claims and improve quality of care. You will...

Job Description:The Clinical Coding Analyst RN, Consultant role is a vital part of our team at Blue Shield of California. We are committed to ensuring the highest level of care and compliance in our services.Company Overview:We pride ourselves on delivering exceptional healthcare services that prioritize patient well-being. Our team works tirelessly to...

Compliance Specialist - Affordable HousingAbout Us:Avanath is a leading provider of affordable housing solutions, dedicated to making a positive impact on the lives of hardworking American families.Job Summary:We are seeking a highly skilled and detail-oriented Compliance Specialist to join our team. As a Compliance Specialist, you will be responsible for...

Job Title: Human Resources Generalist - Onboarding and Compliance Specialist About The Children's ClinicThe Children's Clinic, a mission-driven healthcare organization, is seeking a detail-oriented and highly organized Human Resources Generalist to support daily HR operations and ensure compliance across our healthcare facilities. As a member of our HR...

Job OverviewWe are seeking a dedicated and compassionate Healthcare Specialist to join our team at the Long Beach Healthcare Center.This is an excellent opportunity for individuals who believe in providing exceptional care and making a positive impact on patients' lives.Salary: $60,000 - $80,000 per year, depending on experience.About the RoleThe successful...

We are seeking a skilled RN Case Management professional to join our team at Host Healthcare. As a travel healthcare specialist, you will have the opportunity to work in a dynamic environment and make a meaningful difference in the lives of our patients.About the RoleThis 13-week assignment offers a unique chance to work as a Registered Nurse - Case...

Company OverviewDignity Health is a leading healthcare organization that has been serving communities for decades. Our commitment to providing quality care and promoting health education is unwavering.We are seeking an experienced Healthcare Policy Specialist to join our team. This role will involve coordinating hospital staff education, including the...

About UsMolina Healthcare is a leading healthcare company dedicated to providing high-quality care to our members.Job DescriptionWe are seeking an experienced Healthcare Quality Improvement Specialist to join our team. As a key member of our quality improvement function, you will support new and existing healthcare quality initiatives and education programs....

We are seeking a skilled Nurse Compliance Specialist to join our team at A & Associates, Inc. in West Palm Beach, FL.About the RoleThis is a dynamic and challenging position that requires strong organizational and communication skills. As a Nurse Compliance Specialist, you will be responsible for coordinating nursing staff recruitment and hiring for our...

Job Summary: Fifth Commandment Healthcare Staffing seeks a skilled Pediatric Healthcare Specialist to work 3x12-hour night shifts from 7:00 PM to 7:30 AM. This position requires 2 years of experience in pediatrics, with floating required between general pediatrics, pediatrics hematology/oncology, NICU, and PICU. The ideal candidate will have Basic Life...

About the JobThis is an exciting opportunity to join Blue Shield of California as a Principal Healthcare Transformation Specialist. You will play a critical role in developing and implementing clinical programs that improve patient outcomes and drive operational excellence.Key ResponsibilitiesLead the development and implementation of clinical program...

Location: Long Beach, California">">Job Title: Travel Nurse RN Specialist">About the Job:">We are seeking a highly skilled Travel Nurse RN Specialist to join our team at Cross Country Nurses. As a Travel Nurse RN Specialist, you will have the opportunity to work with a variety of patients and healthcare teams in a fast-paced environment.">Job Summary:...

Job Title: Certified Healthcare Support SpecialistVensure Employer Services is seeking a skilled and compassionate Certified Healthcare Support Specialist to join our team. As a member of our healthcare staff, you will play a vital role in providing high-quality patient care and support.About the Role:You will work closely with our nursing team to provide...

Job DescriptionThe Healthcare Operations Lead will be responsible for managing one or more clinical programs, collaborating with cross-functional teams, and developing business case methodologies to drive program success.Responsibilities* Develop and implement business strategies to meet critical needs* Manage clinical programs using staff and matrixed...

About the Job: This role offers an exciting opportunity to work as a Behavioral Healthcare Specialist in a dynamic healthcare environment. You will be part of a dedicated team that provides comprehensive mental health services to patients. If you are passionate about delivering high-quality care, this could be the perfect fit for you.Job Description: You...

Job OverviewMolina Healthcare seeks a skilled Lead Payables Specialist to join our team. As a key member of our accounting department, you will be responsible for managing the efficient and accurate processing of high-volume payables within our system while ensuring compliance with company policies.Responsibilities• Generate timely release of payments...

Job OverviewMolina Healthcare Services is seeking an experienced professional to lead our healthcare operations team. As a Director of Healthcare Operations, you will be responsible for managing one or more clinical programs, overseeing staff and resources, and developing business case methodologies for program implementation.About the RoleThis is a...

Compelling Opportunity for Patient Transportation ExpertWe are currently seeking a diligent and skilled Patient Transportation Specialist to join our team at Crothall Healthcare. As a key member of our healthcare support services, you will play a vital role in ensuring the safe and efficient transportation of patients, medical equipment, and patient-related...

Job Title: Molina Healthcare Payables AssociateOverview: We are seeking an experienced Payables Associate to join our team at Molina Healthcare.Salary: The estimated annual salary for this role is $45,000 - $60,000 depending on experience and qualifications.Job Description:The Payables Associate will be responsible for processing high volume payables within...