Healthcare Compliance Specialist
2 weeks ago
Evolent Health is seeking a highly skilled Correspondence Policy Specialist to join our Shared Services team. As a key member of our team, you will play a critical role in ensuring compliance with legislative and accreditation requirements, while maintaining high-quality clinical correspondence.
Key Responsibilities- Develop and customize correspondence templates according to regulatory requirements and contractual obligations.
- Provide oversight of the use of appropriate correspondence and review requests for new or modified templates.
- Collaborate with Compliance to ensure clinical correspondence meets minimum standards for National Committee for Quality Assurance, Utilization Review Accreditation Commission, Employee Retirement Income Security Act of 1974, and Centers for Medicare and Medicaid Services.
- Update clinical correspondence templates as needed to ensure compliance with regulatory requirements.
- Research state regulatory requirements for clinical correspondence and policies using online technology and research tools.
- Consult with IT to support the letter generation process.
- 3+ years of healthcare industry experience.
- 3+ years of experience with compliance and quality requirements related to healthcare and UM processes.
- Associates degree or higher preferred.
- Strong analytical and problem-solving skills.
- Excellent verbal and written communication skills.
- Knowledge of legislative/oversight bodies.
Evolent Health is an equal opportunity employer and offers a comprehensive benefits package, including health insurance benefits, to qualifying employees. This position is eligible for a bonus component based on pre-defined performance factors.
-
Compliance and Policy Specialist
4 days ago
Topeka, Kansas, United States Advisors Excel Full timeJob Title: Compliance and Policy SpecialistJoin our team at Advisors Excel, a fast-paced and innovative company that services independent financial advisors in various areas of their business. We are seeking a highly motivated and detail-oriented Compliance and Policy Specialist to contribute to our dynamic compliance team.Key Responsibilities:Review and...
-
Healthcare Compliance Investigator
2 months ago
Topeka, Kansas, United States State of Kansas Full timeEmployment BenefitsComprehensive medical, mental, dental, vision, and additional coverageSick & Vacation leaveWork-Life Balance programs: parental leave, military leave, jury leave, funeral leavePaid State Holidays (designated by the Governor annually)Employee discounts with theRetirement and deferred compensation programsVisit the Employee Benefits page for...
-
Healthcare Outreach Specialist
3 days ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryThe Outreach Care Specialist is a critical role at Elevance Health, responsible for ensuring that appropriate member treatment plans are followed on less complex cases. This involves proactively identifying ways to improve the health of our members and meet quality goals.Key Responsibilities Coordinates follow-up care plan needs for members by...
-
Surveillance Compliance Specialist
5 days ago
Topeka, Kansas, United States Advisors Excel Full timeJob Summary:We are seeking a Surveillance Compliance Intern to join our team at Advisors Excel. As a Surveillance Compliance Intern, you will play a crucial role in supporting our compliance efforts by managing data to monitor the day-to-day activities of our advisors and registered representatives.Key Responsibilities:Manage and troubleshoot data errors and...
-
Healthcare Consultant II
1 month ago
Topeka, Kansas, United States Umanist Staffing LLC Full timeJob DescriptionUmanist Staffing LLC is seeking a skilled Healthcare Consultant II - Telehealth Specialist to join our team. As a key member of our organization, you will play a critical role in developing and implementing effective health services strategies, policies, and programs that drive quality healthcare delivery and establish a competitive business...
-
Healthcare Registration Specialist
3 weeks ago
Topeka, Kansas, United States Stormont-Vail HealthCare Full timeRegistration Staff RoleAt Stormont-Vail HealthCare, our registration staff play a vital role in creating a positive experience for our patients and visitors. As a key member of our team, you will be responsible for greeting patients and visitors with a warm and welcoming smile, while also collecting necessary information in a courteous and efficient...
-
Healthcare Claims Denials Specialist
5 days ago
Topeka, Kansas, United States CenterWell Full timeAbout the RoleWe are seeking a skilled Healthcare Claims Denials Specialist to join our team at CenterWell. As a key member of our revenue cycle team, you will play a critical role in ensuring the timely and accurate reimbursement of healthcare claims.Key ResponsibilitiesCoordinate claim activities and designated agencies to ensure timely reimbursement of...
-
Healthcare Registration Specialist
2 weeks ago
Topeka, Kansas, United States Stormont-Vail HealthCare Full timeRegistration Team MemberAs a valued member of our registration team at Stormont-Vail HealthCare, you will play a vital role in creating a positive experience for our patients and visitors. Your warm and welcoming demeanor will set the tone for a seamless and efficient registration process.Key Responsibilities:Greets patients and visitors with a smile,...
-
Healthcare Claims Denials Specialist
23 hours ago
Topeka, Kansas, United States CenterWell Full timeAbout the RoleWe are seeking a skilled Healthcare Claims Denials Specialist to join our team at CenterWell Home Health. As a key member of our care team, you will play a critical role in ensuring the timely reimbursement of receivables and resolving claims that have not passed payer edits.Key ResponsibilitiesCoordinate claim activities and designated...
-
Care Specialist
2 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob Title: Outreach Care SpecialistWe are seeking a highly motivated and compassionate Outreach Care Specialist to join our team at Elevance Health. As a key member of our care coordination team, you will play a vital role in ensuring that our members receive the highest quality care and support.Job Summary:The Outreach Care Specialist is responsible for...
-
Travel Nurse ICU Specialist
3 weeks ago
Topeka, Kansas, United States PRN Healthcare Full timeJob Title: Travel Nurse ICU SpecialistWe are seeking a skilled Travel Nurse ICU Specialist to join our team at PRN Healthcare. As a Travel Nurse ICU Specialist, you will provide high-quality patient care in a fast-paced ICU environment.Job Summary:Our Travel Nurse ICU Specialist will work in a 13-week contract, providing 36 hours of care per week. The ideal...
-
Diagnostic Imaging Specialist
1 month ago
Topeka, Kansas, United States GO HEALTHCARE, INC. Full timeDiagnostic Imaging Specialist OpportunityGo Healthcare, Inc. is seeking a skilled Diagnostic Imaging Specialist to join our team. As a Diagnostic Imaging Specialist, you will be responsible for operating imaging equipment to produce high-quality diagnostic images for medical professionals to interpret.Key Responsibilities:Operate CT scanners and other...
-
Corporate Compliance Officer
4 weeks ago
Topeka, Kansas, United States Family Service and Guidance Center of To Full timeJob Title: Corporate Compliance OfficerFamily Service and Guidance Center of To is seeking a highly skilled Corporate Compliance Officer to join our team. As a key member of our organization, you will be responsible for ensuring compliance with state and federal guidelines, regulations, and grant requirements.Key Responsibilities:Oversee the implementation,...
-
Corporate Compliance Officer
4 weeks ago
Topeka, Kansas, United States Family Service and Guidance Center Topeka Full timeJob Title: Corporate Compliance OfficerFamily Service and Guidance Center Topeka is seeking a highly skilled Corporate Compliance Officer to join our team. As a key member of our organization, you will be responsible for ensuring compliance with state and federal guidelines, regulations, and grant requirements.Key Responsibilities:Oversee the implementation,...
-
Travel Nurse ICU Specialist
2 weeks ago
Topeka, Kansas, United States Planet Healthcare Full timeJob Title: Travel Nurse ICU SpecialistPlanet Healthcare is seeking a skilled Travel Nurse ICU Specialist to join our team in Topeka, Kansas.Job Summary:We are looking for a highly motivated and experienced Travel Nurse ICU Specialist to work in our Intensive Care Unit. The ideal candidate will have a strong background in critical care nursing and be able to...
-
LPN Homecare Specialist
2 weeks ago
Topeka, Kansas, United States Maxim Healthcare Full timeLPN Homecare Job OpportunityMaxim Healthcare Services is seeking a skilled Licensed Practical Nurse (LPN) to provide high-quality care to pediatric and adult patients in their own homes. As a LPN Homecare Specialist, you will have the opportunity to make a meaningful difference in the lives of our patients and their families.About the RoleWe are looking for...
-
Travel Nurse ICU Specialist
3 weeks ago
Topeka, Kansas, United States GHR Healthcare Full timeJob Opportunity: Travel Nurse ICU SpecialistGHR Healthcare is seeking a skilled travel nurse ICU specialist to join their team in Topeka, Kansas.About the JobSpecialty: ICU - Intensive Care UnitDiscipline: RNDuration: 8 weeksHours: 36 hours per weekShift: 12 hours, nightsEmployment Type: TravelGHR Healthcare offers a competitive pay package based on 12 hour...
-
Mechanical Engineer
24 hours ago
Topeka, Kansas, United States The Goodyear Tire & Rubber Company Full timeJob Summary:As a Mechanical Engineer at The Goodyear Tire & Rubber Company, you will play a critical role in ensuring equipment complies with all safety, environmental, and regulatory compliances. You will work closely with multi-disciplinary engineering and maintenance associates to achieve cost-effective goals. Key Responsibilities: Assist in the design,...
-
Corporate Compliance Officer
3 weeks ago
Topeka, Kansas, United States Family Service and Guidance Center Topeka Full timeJob Title: Corporate Compliance OfficerFamily Service and Guidance Center Topeka is seeking a highly skilled Corporate Compliance Officer to join our team. As a key member of our organization, you will be responsible for overseeing the implementation, operation, and major functions of our Corporate Compliance Plan.Key Responsibilities:Monitor agency-wide...
-
Mechanical Engineer
22 hours ago
Topeka, Kansas, United States Goodyear Full timeJob SummaryGoodyear is seeking a skilled Mechanical Engineer to join our team in ensuring the design, installation, and maintenance of plant equipment and facilities comply with all safety, environmental, and regulatory requirements. The ideal candidate will have a strong background in mechanical engineering, experience with equipment design, and a proven...