Healthcare Compliance Specialist

Position OverviewThe Healthcare Claims Audit Specialist is integral to our organization, responsible for meticulously examining and evaluating medical claims to ensure adherence to established policies, procedures, and regulatory standards. Your contributions will be vital for the precise and ethical processing of claims, which directly impacts the welfare...

About the RoleAt Point32Health, we are seeking a skilled Healthcare Provider Enrollment Specialist to join our team. As a key member of our organization, you will play a critical role in ensuring the accuracy and integrity of our provider data systems.Key ResponsibilitiesAssess and validate contract and supporting documents for provider data entry.Collect...

Join Our Team as an HR Compliance AdministratorAt DXL Group, we prioritize finding the right fit for our team. We are dedicated to nurturing our employees through extensive training and development opportunities, embracing a culture where anyone can lead and grow. Our dynamic team collaborates to create a unique experience that empowers Big + Tall...

Job OverviewLocation: This is a hybrid role primarily based near any Computershare office. We prioritize your flexibility and well-being, requiring three days a week in the office while allowing remote work for the remaining days. Discover more about our culture of flexible working.About ComputershareComputershare (ASX: CPU) stands as the leading stock...

Position OverviewUnder the supervision of the Risk Adjustment Supervisor/Manager, the Senior Risk Adjustment Coding Specialist is responsible for the precise and prompt assessment and confirmation of Medicare Advantage, Commercial, and Medicaid Hierarchical Condition Categories (HCCs) through comprehensive medical record evaluations. Key ResponsibilitiesThe...

About UsPoint32Health is a premier organization dedicated to health and wellness, committed to enhancing the personalized healthcare experience for individuals within our communities. Building on the esteemed legacy of our founding entities, Tufts Health Plan and Harvard Pilgrim Health Care, we utilize our extensive knowledge and skills to assist individuals...

About Us: Ark Behavioral Health is a comprehensive network dedicated to Drug and Alcohol Addiction Treatment, offering various levels of care for individuals ready to embark on their recovery journey. Position Overview: We are currently seeking Per Diem Recovery Specialists with weekend availability at our facility. Role Summary: As a Recovery Specialist,...

Job OverviewUnder the supervision of the Precertification Manager, the Program Operations Specialist is tasked with the daily oversight of non-clinical evaluations that support the clinical, business, and programmatic functions of the department.The Program Operations Specialist serves as a vital member of the Utilization Management Team and embodies the...

About the RoleWe are seeking a highly skilled Senior Contract Manager to join our team at Point32Health. As a key member of our organization, you will play a critical role in negotiating and managing contracts with healthcare providers, ensuring that our company's interests are protected while maintaining strong relationships with our partners.Key...

About the RoleWe are seeking a highly skilled Senior Contract Manager to join our team at Point32Health. As a key member of our organization, you will play a critical role in negotiating and managing contracts with healthcare providers, ensuring that our company's interests are protected while maintaining strong relationships with our partners.Key...

Job Summary:We are seeking a highly skilled and dedicated Life Safety Specialist to join our team at Hebrew SeniorLife. As a Life Safety Specialist, you will be responsible for ensuring the safety and well-being of our residents and guests in the pool area.Key Responsibilities:Conduct regular surveillance of the pool and surrounding area to identify...

Job OverviewPosition: Meat Science SpecialistOverview: We are seeking a knowledgeable professional in the field of meat science to contribute to our operations at Robert Reiser & Co, Inc. This role involves applying expertise in meat technology to enhance product quality and safety.Key Responsibilities:Conduct research and development to improve meat...

Job OverviewRole Summary: In a dynamic and high-output manufacturing setting, the Manufacturing Production Specialist plays a crucial role in achieving departmental objectives related to production, quality assurance, and safety compliance. After completing the necessary training, the Specialist will independently interpret and validate the production...

Job OverviewNew England Life Care (NELC) stands as a leader in home infusion therapy within New England, being the only non-profit provider in the region. Established by local hospitals, NELC is dedicated to ensuring that patients receive care that aligns with the highest standards of excellence in healthcare delivery.At NELC, we are committed to fostering a...

Job OverviewRole Summary: In a dynamic and high-output manufacturing setting, the Manufacturing Production Specialist plays a crucial role in achieving departmental production, quality, and safety benchmarks. After completing the necessary training, the specialist will independently interpret and verify production orders, ensuring the setup and execution of...

Job SummaryWe are seeking a skilled Fire Protection Specialist to join our team at Johnson Controls International. As a key member of our team, you will be responsible for installing, testing, and maintaining fire alarm and security systems to ensure the safety of our customers.Key ResponsibilitiesInstall, test, and maintain fire alarm and security systems...

LOGISTICS SUPPORT SPECIALIST Position Title: Logistics Support Specialist Reports To: Warehouse Manager FLSA: Non Exempt NATURE AND SCOPE OF POSITION The Logistics Support Specialist will collaborate with the Warehouse Team to uphold the highest standards of safety, quality, and productivity. The ideal candidate will demonstrate teamwork, attention...

About UsPoint32Health stands as a premier organization in health and wellness, dedicated to enhancing the personalized healthcare journey for individuals within our communities. Building on the esteemed legacy of our founding entities, Tufts Health Plan and Harvard Pilgrim Health Care, we utilize our extensive experience to empower individuals in achieving...

Job OverviewInfiCare Health is seeking a skilled Pediatric Nurse Specialist to join our team as a local contract nurse in Massachusetts.Key ResponsibilitiesProvide high-quality patient care to pediatric patients in a local contract setting.Collaborate with healthcare professionals to develop and implement effective care plans.Conduct thorough assessments and...

Job OverviewPosition SummaryUnder the supervision of the Precertification Manager, the Program Management Specialist plays a crucial role in overseeing the daily operations of non-clinical evaluations that support the clinical, business, and programmatic functions of the department. This position is integral to the Utilization Management Team and serves as a...