Healthcare Compliance Manager

2 weeks ago


Sacramento, California, United States Hill Physicians Medical Group Full time

Hill Physicians Medical Group is seeking a skilled healthcare professional to serve as a Quality Management Nurse. This individual will be responsible for managing quality management and health resource management functions, ensuring compliance with regulatory requirements. The successful candidate will possess excellent analytical and problem-solving skills, as well as experience in utilization and quality management.

Key responsibilities include directing or overseeing preparation for health plan audits, establishing standards compatible with regulatory requirements, and working closely with HRM analysts to ensure updated letters are generated by the Authorization system. Additionally, the candidate will troubleshoot system issues related to Tapestry, FaxCom, and other authorization-related systems.

We value diversity and inclusion, and we welcome applicants from all backgrounds. Our commitment to equal employment opportunity means that we do not discriminate against any individual based on race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. We believe that our differences make us stronger, and we strive to create an environment where everyone feels valued and respected.


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