5,920 Clinical Governance jobs in the United States
ASSOCIATE DIRECTOR OF CLINICAL STANDARDS
Posted today
Job Viewed
Job Description
Position Purpose The Associate Director of Clinical Standards ensures compliance with ethical, legal, and documentation requirements across CFR. This role leads quality assurance initiatives, serves as the HIPAA Compliance Officer, and works collaboratively to maintain CFR's clinical policies and training materials. The position supports clinician education on clinical standards, helps CFR remain a leader in accessible, ethical, and high-quality therapy. Key Functions and Responsibilities Compliance, Ethics, & Risk Management Serve as CFR's HIPAA Compliance Officer; ensure adherence to privacy and confidentiality protocols. Monitor compliance with CFR policies, state and federal regulations, and the AAMFT Code of Ethics. Support CFR's risk management infrastructure and respond to documentation or privacy concerns. Quality Assurance & Documentation Systems Develop and implement systems for client chart audits, clinical documentation review, and internal quality controls. Reports to the Director of Clinical Operations and align documentation standards with workflow systems. Lead regular reviews and updates to CFR's Clinical Manual and consent forms. Clinician Support & Training Educate new and existing clinicians on documentation practices, compliance policies, and ethical standards. Provide consultation on complex clinical, legal, or ethical cases. Participate in onboarding to reinforce compliance expectations and documentation norms. Policy & Special Projects Prepare or review documents for new education, clinical, or group therapy initiatives. Contribute to CFR-wide training sessions, peer review meetings, and internal evaluations. Collaborate with the Clinical Leadership Team on strategic initiatives related to clinical excellence. Clinical Contribution Maintain a part-time caseload (minimum 8 clients/week or 34/month) subject to the clinical job description and compensation plan. (SEE BELOW) Serve as a model for best practices in documentation, cultural humility, and quality clinical care. Required Qualifications Advanced degree in Marriage and Family Therapy or related mental health field. Licensure in relevant discipline (LMFT, LCSW, LPC, etc.) preferred. 7+ years of clinical experience with strong compliance/ethics background. Qualities Sought Excellent attention to detail and high accountability. Ability to apply ethical reasoning in complex clinical situations. Collaborative spirit and commitment to CFR's values. Working Conditions and Environment This position is hybrid, with a combination of remote work and in-person meetings at CFR office locations as needed. Physical Requirements The position requires repetitive motion, such as standing, walking, sitting and bending. Light lifting, up to 20 pounds, may be required. CLINICAL REQUIREMENT SUBJECT TO THE PART-TIME THERAPIST JOB DESCRIPTION: Part-time therapists at Council for Relationships are W-2, fee-for-service employees. They are highly skilled clinicians who provide exceptional clinical care, complete all documentation and administrative duties, and engage in their own caseload-building and marketing. They are expected to maintain a minimum caseload of 8 clients but are welcome to see more than that. The position is flexible, and therapists are able to set their own schedules and rates. Therapists report to their Office Director and the Director of Clinical Operations. RESPONSIBILITIES: Conduct high-quality therapy in a manner that is ethical, in conformity with established professional standards, in compliance with HIPAA regulations, and accountable and accessible to peer review. Follow Council clinical policies, procedures, and protocols. Utilize Council's practice management software system. Maintain the highest standards of professional practice, including completing client case files in a timely manner and respecting client confidentiality. Attend group clinical supervision. Attend monthly all staff meetings as schedule allows. Attend monthly clinical specialty group meetings as schedule allows. Meet monthly clinical productivity requirements. Maintain an updated profile on the Council website. Submit writing for Council internal and external communications/marketing pieces. COMPENSATION: Therapists are paid a variable percentage (50%-65%) of the fees they charge. #J-18808-Ljbffr
ASSOCIATE DIRECTOR OF CLINICAL STANDARDS
Posted today
Job Viewed
Job Description
Position Purpose
The Associate Director of Clinical Standards ensures compliance with ethical, legal, and documentation requirements across CFR. This role leads quality assurance initiatives, serves as the HIPAA Compliance Officer, and works collaboratively to maintain CFR's clinical policies and training materials. The position supports clinician education on clinical standards, helps CFR remain a leader in accessible, ethical, and high-quality therapy.
Key Functions and Responsibilities
Compliance, Ethics, & Risk Management
- Serve as CFR's HIPAA Compliance Officer; ensure adherence to privacy and confidentiality protocols.
- Monitor compliance with CFR policies, state and federal regulations, and the AAMFT Code of Ethics.
- Support CFR's risk management infrastructure and respond to documentation or privacy concerns.
Quality Assurance & Documentation Systems
- Develop and implement systems for client chart audits, clinical documentation review, and internal quality controls.
- Reports to the Director of Clinical Operations and align documentation standards with workflow systems.
- Lead regular reviews and updates to CFR's Clinical Manual and consent forms.
Clinician Support & Training
- Educate new and existing clinicians on documentation practices, compliance policies, and ethical standards.
- Provide consultation on complex clinical, legal, or ethical cases.
- Participate in onboarding to reinforce compliance expectations and documentation norms.
Policy & Special Projects
- Prepare or review documents for new education, clinical, or group therapy initiatives.
- Contribute to CFR-wide training sessions, peer review meetings, and internal evaluations.
- Collaborate with the Clinical Leadership Team on strategic initiatives related to clinical excellence.
Clinical Contribution
- Maintain a part-time caseload (minimum 8 clients/week or 34/month) subject to the clinical job description and compensation plan. (SEE BELOW)
- Serve as a model for best practices in documentation, cultural humility, and quality clinical care.
Required Qualifications
- Advanced degree in Marriage and Family Therapy or related mental health field.
- Licensure in relevant discipline (LMFT, LCSW, LPC, etc.) preferred.
- 7+ years of clinical experience with strong compliance/ethics background.
Qualities Sought
- Excellent attention to detail and high accountability.
- Ability to apply ethical reasoning in complex clinical situations.
- Collaborative spirit and commitment to CFR's values.
Working Conditions and Environment
This position is hybrid, with a combination of remote work and in-person meetings at CFR office locations as needed.
Physical Requirements
The position requires repetitive motion, such as standing, walking, sitting and bending. Light lifting, up to 20 pounds, may be required.
CLINICAL REQUIREMENT SUBJECT TO THE PART-TIME THERAPIST JOB DESCRIPTION:
Part-time therapists at Council for Relationships are W-2, fee-for-service employees. They are highly skilled clinicians who provide exceptional clinical care, complete all documentation and administrative duties, and engage in their own caseload-building and marketing. They are expected to maintain a minimum caseload of 8 clients but are welcome to see more than that. The position is flexible, and therapists are able to set their own schedules and rates. Therapists report to their Office Director and the Director of Clinical Operations.
RESPONSIBILITIES:
- Conduct high-quality therapy in a manner that is ethical, in conformity with established professional standards, in compliance with HIPAA regulations, and accountable and accessible to peer review.
- Follow Council clinical policies, procedures, and protocols.
- Utilize Council's practice management software system.
- Maintain the highest standards of professional practice, including completing client case files in a timely manner and respecting client confidentiality.
- Attend group clinical supervision.
- Attend monthly all staff meetings as schedule allows.
- Attend monthly clinical specialty group meetings as schedule allows.
- Meet monthly clinical productivity requirements.
- Maintain an updated profile on the Council website.
- Submit writing for Council internal and external communications/marketing pieces.
COMPENSATION:
Therapists are paid a variable percentage (50%-65%) of the fees they charge.
Senior Manager, Clinical Data Standards

Posted today
Job Viewed
Job Description
Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You'll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible.
Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us .
**Senior Manager, Clinical Data Standards, Bristol-Myers Squibb Company** **,** **Princeton, NJ** **.** Develop, maintain and implement clinical data standards. Participate in the development and maintenance of global clinical data standards, including operational CDISC SDTM, controlled terminology, non-CRF standard data mappings (lab or ECG) and other applicable industry standards. Create metadata and mappings between the standards (operational and SDTM), and documentation of the use of the standard. Provide input for standards components, such as CRF design, CRF completion guidelines, programmed edit checks, data transfer specifications, SDTM mapping specifications and SDTM annotated CRF. Act as an expert on operational data standards, SDTM and/or Analysis Data Model (ADaM) standards and CDISC controlled terminology. Validate SDTM domains, which may include output from industry standard software tools and BMS custom validation programs. Work with standards management systems and software, such as MDR, Change Request Systems, SDTM validation systems and issues tracking systems. Communicate and reinforce content and interpretation of BMS data standards to project and study teams to ensure consistency in understanding and implementation of standards across a project. Process clinical data change requests for new or existing metadata, including developing a standards manager recommendation and implementation plan for the standard, as applicable, and ensure that the request is processed through the appropriate levels of the Central Drugs Standard Control Organization (CDSCO). Provide guidance to Study Teams and Submission Teams on SDTM standards and related submission requirements (SDTM annotated CRF, define.xml/pdf, Reviewer's Guide and XPT files). Participate in the identification, review, evaluation and implementation of new technologies related to data standards.
40 hrs/week, Mon-Fri, 8:30 a.m. - 5:30 p.m. $174,400 - 235,280/yr.
**MINIMUM REQUIREMENTS** :
Master's degree or foreign equivalent degree in Microbiology, Clinical Research, or a related life science field, and eight (8) years of post-baccalaureate experience.
In the alternative, the employer will accept a bachelor's degree or foreign equivalent degree in Microbiology, Clinical Research, or a related life science field, and ten (10) years of post-baccalaureate experience.
Must have experience with/in:
+ Clinical Trial Data,
+ Pharmaceutical development process,
+ Health Authority regulations,
+ Good Clinical Trial (GCT) practice,
+ Regulatory requirements,
+ Clinical Data Interchange Standards Consortium (CDISC), Study Data Tabulation Model (CDISC SDTM), Collection (CDASH), Tabulation (SDTM) or analysis (ADaM) models,
+ Define.xml,
+ Medidata Rave electronic Data Capture (EDC),
+ data mapping specifications,
+ annotated CRFs,
+ CRF design,
+ data validation,
+ Metadata
+ Repository (MDR) and
+ SAS.
The required skills do not need to be maintained over the full term of required experience.
May work remotely within normal commuting distance of Princeton, NJ.
To apply, email resume and reference R1592891 in the subject line of the email to .
The starting pay rate takes into account characteristics of the job, such as required skills and where the job is performed. Final, individual compensation will be decided based on demonstrated experience.
Eligibility for specific benefits listed on our careers site may vary based on the job and location. For more on benefits, please visit our BMS Career Site.
Benefit offerings are subject to the terms and conditions of the applicable plans then in effect and may include the following: Medical, pharmacy, dental and vision care. Wellbeing support such as the BMS Living Life Better program and employee assistance programs (EAP). Financial well-being resources and a 401(K). Financial protection benefits such as short- and long-term disability, life insurance, supplemental health insurance, business travel protection and survivor support. Work-life programs include paid national holidays and optional holidays, Global Shutdown days between Christmas and New Year's holiday, up to 120 hours of paid vacation, up to two (2) paid days to volunteer, sick time off, and summer hours flexibility. Parental, caregiver, bereavement, and military leave. Family care services such as adoption and surrogacy reimbursement, fertility/infertility benefits, support for traveling mothers, and child, elder and pet care resources. Other perks like tuition reimbursement and a recognition program.
*** If BMS Careers Site link is not copying and pasting correctly, please add manually using the following address: .
If you come across a role that intrigues you but doesn't perfectly line up with your resume, we encourage you to apply anyway. You could be one step away from work that will transform your life and career.
**Uniquely Interesting Work, Life-changing Careers**
With a single vision as inspiring as Transforming patients' lives through science , every BMS employee plays an integral role in work that goes far beyond ordinary. Each of us is empowered to apply our individual talents and unique perspectives in a supportive culture, promoting global participation in clinical trials, while our shared values of passion, innovation, urgency, accountability, inclusion and integrity bring out the highest potential of each of our colleagues.
**On-site Protocol**
BMS has an occupancy structure that determines where an employee is required to conduct their work. This structure includes site-essential, site-by-design, field-based and remote-by-design jobs. The occupancy type that you are assigned is determined by the nature and responsibilities of your role:
Site-essential roles require 100% of shifts onsite at your assigned facility. Site-by-design roles may be eligible for a hybrid work model with at least 50% onsite at your assigned facility. For these roles, onsite presence is considered an essential job function and is critical to collaboration, innovation, productivity, and a positive Company culture. For field-based and remote-by-design roles the ability to physically travel to visit customers, patients or business partners and to attend meetings on behalf of BMS as directed is an essential job function.
BMS is dedicated to ensuring that people with disabilities can excel through a transparent recruitment process, reasonable workplace accommodations/adjustments and ongoing support in their roles. Applicants can request a reasonable workplace accommodation/adjustment prior to accepting a job offer. If you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to . Visit careers.bms.com/ ( eeo-accessibility to access our complete Equal Employment Opportunity statement.
BMS cares about your well-being and the well-being of our staff, customers, patients, and communities. As a result, the Company strongly recommends that all employees be fully vaccinated for Covid-19 and keep up to date with Covid-19 boosters.
BMS will consider for employment qualified applicants with arrest and conviction records, pursuant to applicable laws in your area.
If you live in or expect to work from Los Angeles County if hired for this position, please visit this page for important additional information: data processed in connection with role applications will be treated in accordance with applicable data privacy policies and regulations.
**Company:** Bristol-Myers Squibb
**Req Number:** R1592891
**Updated:** 2025-07-30 05:09:04.955 UTC
**Location:** Princeton LVL-NJ
Bristol Myers Squibb is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, pregnancy, citizenship, marital status, gender expression, genetic information, political affiliation, or any other characteristic protected by law.
Healthcare Compliance Coordinator
Posted today
Job Viewed
Job Description
MNA Delivers leadership, support, and guidance to healthcare facilities of all sizes across multiple specialists with the primary goal of providing accessibility, value, and quality medical administrative support services.
What You'll Do:
The Compliance Coordinator supports the organization's compliance program by ensuring healthcare clinic operations adhere to applicable federal and state healthcare regulations, accreditation standards, and internal policies. This role works closely with clinic managers, providers, and administrative staff to monitor compliance with HIPAA, OSHA, CMS, and other healthcare-specific requirements. This position plays a key role in promoting a culture of accountability, patient and employee safety, and regulatory integrity across all clinic locations.
- Monitor and support clinic compliance with healthcare regulations such as HIPAA, OSHA, CMS guidelines, and state-specific healthcare laws.
- Coordinate and assist with internal and external audits, inspections, and surveys (e.g., OSHA inspections, credentialing audits, state health department visits).
- Maintain accurate and up-to-date compliance documentation, including policies, training records, regulatory filings, and audit reports.
- Track clinic incident reports, patient safety events, and regulatory issues; support investigations and ensure corrective action plans are implemented and documented.
- Conduct or coordinate staff training on key compliance topics including HIPAA privacy and security, workplace safety, infection control, and clinical documentation standards.
- Collaborate with clinic leadership to identify compliance risks and develop strategies to address and mitigate those risks.
- Works closely with Human Resources to support internal investigations involving potential policy violations or compliance concerns.
- Stay informed of changes in healthcare regulations and assist with policy updates and communication of changes to clinical staff.
What You Need For This Job:
- Minimum Education Level: Associate degree in healthcare administration, business, compliance or a related field. Or a combination of education and experience.
- Licensing or Certifications: Certified in Healthcare Compliance (CHC), Certified Professional Compliance Officer (CPCO), Certified HIPAA Professional (CHP), OSHA certification or training
- Relevant Work Experience: Two-Four years of related experience and/or training in a healthcare setting.
- Must reside in or near Wasilla, Alaska, or willing to commute.
- Must be able to lift and/or move 25 lbs.
- Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception, and the ability to adjust focus.
What You'll Love About Us:
- Great Company Culture- We embrace diverse perspectives and prove the freedom to grow, innovate and create.
- Rest and Relaxation- Enjoy 15 days of paid time off with an increase after five years and six paid holidays!
- Health Benefits- Access to medical, dental, and vision plans, with HSA and FSA options, as well as short- and long-term disability coverage. We also provide $25,000 in employer-paid life insurance for added peace of mind.
- Prepare for the future- Fidelity 401(k) with a generous employer match of up to 4.5% and access to a personal financial planner.
- Healthy Working Environment- We prioritize a safe, empowering, and inclusive work culture.
Because our team members are trusted to handle sensitive information, we require all candidates that receive and accept employment offers to complete a background check and drug screen before official employment.
Medical Network of Alaska, LLC is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
HEALTHCARE COMPLIANCE COORDINATOR
Posted today
Job Viewed
Job Description
Description
HEALTHCARE COMPLIANCE COORDINATOR JOB SUMMARY
This position primarily provides administrative support to the CAO and serves as CCHCs Privacy Officer. The individual will work as a liaison between Comprehensive Community Health Centers (CCHC) and its contracted IPAs and health plans, reviews and supports implementation of regulatory guidance or laws, and supports all areas of Compliance.
HEALTHCARE COMPLIANCE COORDINATOR ESSENTIAL DUTIES AND RESPONSIBILITIES
- Provides administrative support to the CAO.
- Develops and maintains positive relationships with IPAs and health plans by conducting over-the-phone and on-site meetings, and leading joint operating committee (JOC) meetings with IPA and health plan representatives on a regular basis.
- Addresses operational issues between CCHC and IPAs and health plans regarding claim submissions, authorization issues, provider contracting issues, credentialing issues, and other issues as directed.
- Maintains IPA and Plan contracts.
- Maintains provider and vendor contracts.
- Maintains all internship, externship, volunteer agreements with educational institutions and programs
- Remains current and up to date on IPA, health plan and other state and federal legislation, including HRSA requirements, impacting CCHC. Includes but is not limited to interpreting guidelines, disseminating information to other CCHC Department Heads and providers, training staff on new requirements, and developing policies and procedures to support new or changing requirements.
- Ensures adherence with federal and state regulations and accreditation standards.
- Responsibilities also include operating, overseeing, and modifying CCHCs Compliance Program, and internal monitoring of CCHC operations for compliance purposes.
- Responsible for working with legal counsel, when directed by CAO.
- Establishes and maintains required language, contract provisions and terms for all agreements entered into by CCHC
- Identify information security, confidentiality and release of patient information/HIPAA issues.
- Serves as CCHCs Privacy Officer
- Provide administrative support to Compliance Department, including preparation for the Board of Directors quarterly Compliance Committee meeting.
- Coordinates with CCHCs Credentialing Department and periodically assists the Revenue Cycle (Billing) Department with auditing and troubleshooting of provider data to ensure proper claims adjudication
- Performs other duties as assigned or requested.
Requirements
HEALTHCARE COMPLIANCE COORDINATOR EDUCATION AND EXPERIENCE
- Health Resources and Services Administration (HRSA) experience desired.
- Bachelors degree in Business Administration, Health Care Administration or other-related field required.
- 3-5 years-experience in a health care setting preferred.
- General knowledge of state and federal legislation specific to the healthcare field.
- Paralegal or contracting experience is desired but not required.
HEALTHCARE COMPLIANCE COORDINATOR PAY RATE: $33-$36/hr
HEALTHCARE COMPLIANCE COORDINATOR BENEFITS :
- Medical, Dental and Vision 100% paid by Employer
- Life Insurance and Accidental Dismemberment 100% paid by Employer
- Paid Holidays
- Paid Time Off
- 401K
- 401K Matching
- Flexible Spending Account
- Fringe
- Supplemental Insurance
PHYSICAL DEMANDS
Position requires prolonged sitting at a computer, some bending, lifting, stooping and stretching. Good eye-hand coordination and manual dexterity sufficient to operate a computer keyboard, photocopy machine, telephone, and other office equipment is also required. Employee must have normal range of hearing and eyesight.
NOTE: The essential job functions for this position include, but may not be limited to those listed in this job description. Employees hired for this position must be able to perform the essential functions of this job without imposing significant risk of substantial harm to the health or safety of themselves or others
#J-18808-LjbffrHealthcare Compliance Consultant
Posted today
Job Viewed
Job Description
- The resource will work three days a week at the client location until fully trained, and thereafter, depending on their progression, they will then work once a week onsite.
- The Business Analyst Sr. is responsible for leading and/or supporting processes that ensure oversight and ongoing monitoring of Client's Medicare Advantage and Part D programs.
- The primary duties of this role encompasses overseeing sales and enrollment processes to ensure compliance with Client regulations for Medicare Advantage operations.
- Additionally, the position involves enhancing workflows and business processes to bolster controls, mitigate risk, and enhance overall quality and efficiency.
- Compliance Monitoring: Ensure agents comply with Client regulations and guidelines for selling and enrolling Medicare Advantage plans.
- Quality Assurance: Monitor and evaluate agent performance to ensure quality service and accurate information to potential beneficiaries.
- Policy Interpretation: Interpret and communicate Medicare policies and guidelines.
- Metric Tracking: Establish and track performance metrics to assess agent effectiveness and identify areas for improvement.
- Regulatory Updates: Stay informed about changes in Medicare policies and regulations to ensure agents remain compliant.
- Collaboration and Communication: Collaborate with cross-functional teams and communicate with stakeholders to ensure alignment and effectiveness in oversight.
- Process Improvement: Continuously identify and implement process improvements to enhance efficiency and effectiveness in oversight.
- Legal and Ethical Adherence: Ensure that agencies and agents adhere to legal and ethical standards in their interactions with beneficiaries.
- Risk Management: Identify and mitigate risks associated with agent activities to maintain compliance and protect the organization's reputation.
Healthcare Compliance Analyst
Posted today
Job Viewed
Job Description
- The Compliance Investigations Team (iTeam) is responsible for investigating reports of potential compliance violations, conducting thorough inquiries, recommending appropriate corrective action, and using data and metrics to inform training, communications and trend analysis.
- The Analyst/Senior Analyst will report to the iTeam Director and collaborate closely within the Compliance Department and with other team members throughout the organization.
- This role involves data analysis, report creation, system administration, and acting as the primary point of contact for the third-party hotline and case management system vendor.
- The successful candidate will possess strong interpersonal communication skills, critical thinking abilities, and organizational skills, along with basic development skills in Tableau and data analysis capabilities.
- Bachelor's Degree required.
- 2-4 years of professional experience; compliance and/or health care experience preferred.
- dvanced proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
- Strong development and reporting skills utilizing Tableau.
- Exceptional organizational skills and strong attention to detail.
- Demonstrated ability to manage time effectively, prioritize tasks, and meet deadlines.
- Strong problem-solving and decision-making skills; ability to identify issues, propose solutions, and implement resolutions promptly.
- bility to work independently and as part of a team, managing projects and delegating tasks as appropriate.
- Strong interpersonal skills with the ability to interact with all levels of the organization.
- bility to handle confidential information with discretion.
- Experience in compliance and/or health care industries.
- Experience working with NAVEX and EthicsPoint systems preferred.
Data Development and Analytics Support (60%):
- nalyze large data sets using advanced Excel functions (VLOOKUP, pivot tables, etc.).
- Develop and create reporting in Tableau.
- Generate weekly, monthly, and ad hoc reports to support the investigations team and special initiatives.
- Create PowerPoint presentations of data and metrics for senior leadership meetings using Tableau and Excel.
- Conduct regular quality assurance reviews of data to ensure accuracy and completeness.
- Serve as the liaison between the organization and NAVEX to address issues and troubleshoot concerns.
- Provide support and guidance to other lane/tier administrators on best practices and processes.
- nnual invoice and allocation reconciliation.
- Conduct basic interviews with teammates, including compliance exit interviews, and track results.
- ssist investigators with ongoing investigations by performing ancillary tasks such as data review.
- ct as a backup for other team members by conducting hotline poster audits, monitoring email boxes, and completing compliance hotline triage as needed.
- Lead small-scale compliance projects and assist with large-scale efforts under the direction of the Compliance Director.
- Present data and metrics to senior leadership.
- Monthly team budget and goals tracking.
- Other duties as assigned.
- Bachelor's Degree required.
- 2-4 years of professional experience; compliance and/or health care experience preferred.
- dvanced proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
- Strong development and reporting skills utilizing Tableau.
- Exceptional organizational skills and strong attention to detail.
- Demonstrated ability to manage time effectively, prioritize tasks, and meet deadlines.
- Strong problem-solving and decision-making skills; ability to identify issues, propose solutions, and implement resolutions promptly.
- bility to work independently and as part of a team, managing projects and delegating tasks as appropriate.
- Strong interpersonal skills with the ability to interact with all levels of the organization.
- bility to handle confidential information with discretion.
- Experience in compliance and/or health care industries.
- Experience working with NAVEX and EthicsPoint systems preferred.
- Hybrid schedule, Tuesday and Wednesdays in office during core hours (8am-5pm) required and additional days as needed for meetings, trainings and events.
- bility to work in a fast-paced environment and handle multiple priorities simultaneously.
- This role may require occasional travel for meetings and audits.
More than just pay, our Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.
- Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
- Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
- Professional development programs: Our client offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through online training platform StarLearning.
Be The First To Know
About the latest Clinical governance Jobs in United States !
Healthcare Compliance Auditor
Posted 2 days ago
Job Viewed
Job Description
Jordan Valley Community Health Center (JVCHC) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community's health through access and relationships. By working collaboratively with partners and continually innovating, JVCHC strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare.
The Compliance Auditor is responsible for conducting E&M audits and ongoing review of 340B pharmacy program utilizing established criteria and auditing tools. The Compliance Auditor will be responsible for additional operational and compliance auditing processes to include reconciliation of any variances. The Compliance Auditor will also keep current with coding standards, and 340B regulations/program changes, policies and procedures, and understanding accessing and utilizing various vendor software products, as applicable.
Duties:
- Completes compliance Evaluation and Management (E&M) documentation audits, and audits of the 340B pharmacies to promote documentation improvement and assure compliance with government oversight.
- Responsible for additional operational and compliance auditing processes as assigned, to include but not limited to reconciliation of variances, benchmarking, facilitation of peer reviews, and targeted service or business practice audits.
- Demonstrates proficiency with working within various Microsoft products such as Excel, and software systems including but not limited to electronic health record systems, 340B third party administrator software systems.
- Works with established 340B manager for cross training, reporting audit findings and providing follow up activities and reporting as requested.
- Initiates and implements training and education process improvements to achieve compliance and revenue enhancement for the organization when issues are identified in audits completed. This includes but is not limited to initial and on-going education with providers, and training and education as new service lines are implemented.
- Compiles audit results and creates requested reports tailoring to appropriate audiences. Identifies, reports and implements corrective action or education as appropriate.
- Provides routine benchmarking data to the providers and medical director for review and identifies areas for improvement, and provides education for achievement of this goal.
- Facilitates other on-going or periodic compliance audits as assigned per annual work plan following the same plan to include process improvement and education opportunities and implementation.
Benefits Overview:
- Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
- Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages.
- Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
- Dental and Vision Coverage: Dental insurance through Cigna's DPPO network and vision coverage through EyeMed's Insight network.
- Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
- Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available.
- Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention.
- Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife.
- Pay On Demand Available
Holidays:
- Nine paid holidays per year.
Health Requirements:
All employees are required to provide proof of vaccination for Flu, Hepatitis B and Tuberculosis (TB) as part of our commitment to maintaining a safe and healthy workplace.
Application Process:
Interested applicants should submit a resume and cover letter through the JVCHC career portal. Applications will be accepted on a rolling basis until the position is filled.
Jordan Valley Community Health Center is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
Requirements
Required Qualifications:
- Minimum of two years in compliance/coding auditing.
Preferred Qualifications:
- Associates/Bachelor's Degree in Health Information Technology
- Certification in Healthcare Compliance (CHC) via Health Care Compliance Association (HCCA).
- Recognition as Certified Professional Coder (CPC) via AAPC or Certified Coding Specialist (CCS/CCS-P) via AHIMA.
Healthcare Compliance Analyst
Posted 2 days ago
Job Viewed
Job Description
3 weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. This range is provided by MDA Edge. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $60,000.00/yr - $0,000.00/yr Role Summary: The Compliance Investigations Team (iTeam) is responsible for investigating reports of potential compliance violations, conducting thorough inquiries, recommending appropriate corrective action, and using data and metrics to inform training, communications and trend analysis. The Analyst/Senior Analyst will report to the iTeam Director and collaborate closely within the Compliance Department and with other team members throughout the organization. This role involves data analysis, report creation, system administration, and acting as the primary point of contact for the third-party hotline and case management system vendor. The successful candidate will possess strong interpersonal communication skills, critical thinking abilities, and organizational skills, along with basic development skills in Tableau and data analysis capabilities. Non-negotiable requirements of this position: Bachelor's Degree required. 2-4 years of professional experience; compliance and/or health care experience preferred. Advanced proficiency in Microsoft Word, Excel, PowerPoint, and Outlook. Strong development and reporting skills utilizing Tableau. Exceptional organizational skills and strong attention to detail. Demonstrated ability to manage time effectively, prioritize tasks, and meet deadlines. Strong problem-solving and decision-making skills; ability to identify issues, propose solutions, and implement resolutions promptly. Ability to work independently and as part of a team, managing projects and delegating tasks as appropriate. Strong interpersonal skills with the ability to interact with all levels of the organization. Ability to handle confidential information with discretion. Experience in compliance and/or health care industries. Experience working with NAVEX and EthicsPoint systems preferred. Key Responsibilities: Data Development and Analytics Support (60%): Analyze large data sets using advanced Excel functions (VLOOKUP, pivot tables, etc.). Develop and create reporting in Tableau. Generate weekly, monthly, and ad hoc reports to support the investigations team and special initiatives. Create PowerPoint presentations of data and metrics for senior leadership meetings using Tableau and Excel. Conduct regular quality assurance reviews of data to ensure accuracy and completeness. System Administration – Enterprise Case Management System (Ethicspoint by NAVEX) (20%): Serve as the liaison between the organization and NAVEX to address issues and troubleshoot concerns. Provide support and guidance to other lane/tier administrators on best practices and processes. Annual invoice and allocation reconciliation. Investigations Support (5%): Conduct basic interviews with teammates, including compliance exit interviews, and track results. Assist investigators with ongoing investigations by performing ancillary tasks such as data review. Additional Responsibilities (15%): Act as a backup for other team members by conducting hotline poster audits, monitoring email boxes, and completing compliance hotline triage as needed. Lead small-scale compliance projects and assist with large-scale efforts under the direction of the Compliance Director. Present data and metrics to senior leadership. Monthly team budget and goals tracking. Other duties as assigned. Qualifications: Bachelor's Degree required. 2-4 years of professional experience; compliance and/or health care experience preferred. Advanced proficiency in Microsoft Word, Excel, PowerPoint, and Outlook. Strong development and reporting skills utilizing Tableau. Exceptional organizational skills and strong attention to detail. Demonstrated ability to manage time effectively, prioritize tasks, and meet deadlines. Strong problem-solving and decision-making skills; ability to identify issues, propose solutions, and implement resolutions promptly. Ability to work independently and as part of a team, managing projects and delegating tasks as appropriate. Strong interpersonal skills with the ability to interact with all levels of the organization. Ability to handle confidential information with discretion. Experience in compliance and/or health care industries. Experience working with NAVEX and EthicsPoint systems preferred. Working Conditions: Hybrid schedule, Tuesday and Wednesdays in office during core hours (8am-5pm) required and additional days as needed for meetings, trainings and events. Ability to work in a fast-paced environment and handle multiple priorities simultaneously. This role may require occasional travel for meetings and audits. What We'll Provide: More than just pay, our Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings. Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more Professional development programs: Our client offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through online training platform StarLearning. Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Other Industries IT Services and IT Consulting Referrals increase your chances of interviewing at MDA Edge by 2x Get notified about new Compliance Analyst jobs in Denver, CO . Compliance Specialist - Export Controls & Sanctions (Denver On-site) Greenwood Village, CO $7 ,780.00- 82,460.00 4 days ago Denver, CO 85,000.00- 110,000.00 1 month ago Denver, CO 70,000.00- 85,000.00 2 weeks ago Denver, CO 75,000.00- 110,000.00 3 days ago Denver, CO 56,160.00- 70,200.00 6 days ago Product Compliance Analyst – Legal Research Denver, CO $1 4,000.00- 156,000.00 4 days ago Denver, CO 85,000.00- 110,000.00 4 months ago Denver, CO 140,000.00- 160,000.00 2 weeks ago Senior Governance, Risk and Compliance Analyst Denver, CO 133,000.00- 166,000.00 3 weeks ago Broomfield, CO 99,000.00- 130,000.00 3 weeks ago Boulder, CO 95,000.00- 120,000.00 1 week ago Broomfield, CO 95,000.00- 130,000.00 4 weeks ago Denver, CO 100,000.00- 125,000.00 3 days ago Denver, CO 75,200.00- 110,400.00 3 weeks ago Denver, CO 56,500.00- 75,000.00 2 weeks ago Denver, CO 56,500.00- 75,000.00 4 days ago Compliance Manager / Loan Closing Associate Sr Operations Compliance Specialist - Cybersecurity Lone Tree, CO 108,496.89- 149,183.22 10 hours ago Senior Manager of Compliance Communications Centennial, CO 71,338.00- 98,090.00 1 month ago Sr Operations Compliance Specialist - Cybersecurity Lone Tree, CO 108,496.00- 149,183.00 3 weeks ago Denver, CO 79,000.00- 90,000.00 2 days ago Denver, CO 86,800.00- 112,900.00 2 weeks ago Associate General Counsel and Deputy Chief Compliance Officer Lakewood, CO 236,600.00- 295,700.00 2 months ago Associate General Counsel and Deputy Chief Compliance Officer We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
Healthcare Compliance Specialist

Posted 6 days ago
Job Viewed
Job Description
Grifols has been a leader in the healthcare industry since 1940 by creating innovative products and services based on the values of ethics, quality and responsibility. Grifols' activities focus on fulfilling the needs of its patients as well as healthcare professionals working in therapeutics, pharmacy, diagnostics and blood banking. For more than 60 years, Grifols has developed, manufactured and marketed product designed to improve human health. Grifols manufactures plasma derived biopharmaceutical products of proven efficacy, quality and safety. For more information, please visit our website: Overview:**
The North American Compliance Operations Specialist supports the North American Healthcare Compliance program and the Global Due Diligance Team. They will aid in a range of international and North American compliance projects partnering with key stakeholders globally. They will report to the VP North American Healthcare Compliance (NAHC) and help the NAHC team operate smoothly and effectively. They will assist in strategic NAHC activities and initiatives.
**Responsibilities include, but are not limited to the following:**
- Administer the North American Ethics Helpline maintaining the highest degree of confidentiality, objectivity, and fairness
- Define and lead compliance improvement and strategic projects working with diverse and cross functional teams
- Support compliance risk assessment and strategy development
- Work collaboratively with compliance colleagues to meet company objectives and serve customers
- Support NAHC leadership team and full team connections and collaboration
- Support budget creation and team financial management
- Support company vendor credentialing program
- Support analytics and metrics evaluation and monitoring
- Support transparency program
*This job description is intended to present the general content and requirements for the performance of this job. The description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Managers and supervisors may assign other duties as needed.
**Skills/Qualifications/Education Requirements:** (To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, education, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions).
+ Strong ethics, concern for standards, and desire to help others do the right thing
+ Can develop a strong presentation and present to a small group
+ Ability to communicate effectively and build relationships
+ Ability to deliver basic training live or electronically
+ Ability to support investigations with guidance
+ Ability to work independently
+ Strong attention to detail
+ Ability to identify risks and analyze data for patterns and inconsistencies
+ Demonstrates leadership skills and interest
+ Strong people skills and ability to communicate effectively at all levels of the organization and with partners around the globe
+ Strong verbal and written communication skills
+ Healthcare compliance experience preferred
+ Familiarity with US and international anti-corruption laws and regulations preferred
+ Familiarity with US healthcare compliance laws and regulations preferred
+ Exposure to US and international pharmaceutical, biopharmaceutical, or medical device commercial operations preferred
+ Proficient with standard PC software
+ Ability to travel 15% primarily within the US
+ BS degree or equivalent education & experience combination
+ 2 years' experience, or equivalent combination of education & experience
+ Depending on the area of assignment, directly related experience or a combination of directly related education and experience and/or competencies may be considered in place of the stated requirements. Example: If a job level requires a Bachelor's degree plus 4 years of experience, an equivalency could include 8 years of experience, an Associate's degree with 6 years of experience, or a Master's degree with 2 years of experience.
This role is a hybrid role requiring 3 days at the office in Research Triangle Park and 2 days remote.
Work is performed in an office environment with exposure to electrical office equipment. Frequently sits for 6-8 hours per day. Repetitive hand movement of both hands with the ability to make fast, simple, repeated movements of the fingers, hands, and wrists. Frequently walks. Occasionally bends and twists neck. Light to moderate lifting and carrying objects with a maximum lift of 25lbs. Frequently drives to site locations with occasional travel within the United States. Able to communicate complex information and ideas so others will understand; with the ability to listen to and understand information and ideas presented through spoken words and sentences. Frequently interacts with others, relates sensitive information to diverse groups. Ability to apply abstract principles to solve complex conceptual issues.
EEO Females/Minorities
Third Party Agency and Recruiter Notice:
Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate.
**Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws.**
Learn more about Grifols ( ID:** 528368
**Type:** Regular Full-Time
**Job Category:** Legal / Compliance