2,466 Healthcare Compliance jobs in the United States

Healthcare Compliance Specialist

85338 Payson, Arizona Serene Health Services

Posted 3 days ago

Job Viewed

Tap Again To Close

Job Description

Empowering Wellness, Transforming Lives

Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.

As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.

Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members.

A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!

Job Summary:

We are seeking a meticulous and experienced Quality Assurance (QA) Auditor to join our team. The QA Auditor is responsible for ensuring the integrity and accuracy of patient information within Health Information Technology (HIT) systems. The QA Auditor will navigate various health plan Electronic Medical Records (EMRs) to maintain high standards of quality assurance, and ensure compliance with industry standards and regulations.

Responsibilities:

  • Identify, assess, correct, and monitor critical aspects of patient data while adhering to strict guidelines set by the Department of Health Care Services (DHCS) and Health Care Providers.
  • Understand and apply practices and procedures established by DHCS and Providers.
  • Navigate and work proficiently with multiple health plan EMR systems.
  • Collaborate with various departments to ensure quality standards are met throughout the production process.
  • Monitor and identify key errors within patient information.
  • Prepare detailed audit reports and present findings to management.
  • Comply with organizational guidelines and health care laws and regulations, including HIPAA.
  • Perform additional duties as assigned.
Education and Experience:
  • High school diploma or GED required; Bachelor's in a related field preferred.
  • Minimum 1 year of experience in quality assurance or a healthcare role required.
Required Skills/Abilities:
  • Proficiency in Microsoft Office Suite and quality management software.
  • Effective and professional communication skills, both written and verbal.
  • Excellent analytical and problem-solving skills.
  • Strong attention to detail and organizational skills.
  • Bilingual in Spanish preferred.
Physical Requirements:
  • Prolonged periods of sitting at an office desk on the computer.
  • Lifting: Able to lift up to 15lbs at times.


Pay range

$18-$22 USD

Benefits

Our full-time employees are eligible for the following benefits enrollment after 60 days of employment:

Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.

Short & Long-Term Disability Benefits: Protection when you need it most.

Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.

Flexible Spending Accounts: Manage your finances with flexibility.

Employee Assistance Program (EAP): Support when life throws challenges your way.

401(K): Building your financial future with us. Effective after 1 year of employment.

Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.

Paid Holidays: Quality time to enjoy celebrations.

Employee Referral Program: Share the opportunities and reap the rewards.

Company Discount Program: Enjoy savings on everyday expenses and memberships.

Equal Employment Opportunity

Optima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.

Pre-Employment

Optima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.
View Now

Healthcare Compliance Manager

46202 Indianapolis, Indiana Elevance Health

Posted today

Job Viewed

Tap Again To Close

Job Description

**Healthcare Compliance Manager**
**Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Healthcare Compliance Manager** is responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.
**How You Will Make An Impact:**
+ Manage/oversee projects, initiatives, regulatory audits or exams, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.
+ Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates.
+ Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert.
+ Conducts complex investigations, document findings, and ensure corrective actions are made. Interface with external clients, regulators, vendors, supplier; internal stakeholders, high level of management.
+ Assists in the preparation of responses to regulatory agencies by prescribed timeframes.
**Minimum Requirements:**
+ Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
+ Ability to travel may be required.
**Preferred Skills, Capabilities & Experiences:**
+ Experience in commercial insurance compliance & regulation (self-funded, ERISA, ASO, Exchanges) is preferred.
+ Experience working in a behavioral health setting is preferred.
+ Experience with automation tools are preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
View Now

Healthcare Compliance Manager

30309 Midtown Atlanta, Georgia Elevance Health

Posted today

Job Viewed

Tap Again To Close

Job Description

**Healthcare Compliance Manager**
**Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Healthcare Compliance Manager** is responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.
**How You Will Make An Impact:**
+ Manage/oversee projects, initiatives, regulatory audits or exams, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.
+ Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates.
+ Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert.
+ Conducts complex investigations, document findings, and ensure corrective actions are made. Interface with external clients, regulators, vendors, supplier; internal stakeholders, high level of management.
+ Assists in the preparation of responses to regulatory agencies by prescribed timeframes.
**Minimum Requirements:**
+ Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
+ Ability to travel may be required.
**Preferred Skills, Capabilities & Experiences:**
+ Experience in commercial insurance compliance & regulation (self-funded, ERISA, ASO, Exchanges) is preferred.
+ Experience working in a behavioral health setting is preferred.
+ Experience with automation tools are preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
View Now

Healthcare Compliance Manager

40287 Louisville, Kentucky Elevance Health

Posted today

Job Viewed

Tap Again To Close

Job Description

**Healthcare Compliance Manager**
**Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Healthcare Compliance Manager** is responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.
**How You Will Make An Impact:**
+ Manage/oversee projects, initiatives, regulatory audits or exams, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.
+ Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates.
+ Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert.
+ Conducts complex investigations, document findings, and ensure corrective actions are made. Interface with external clients, regulators, vendors, supplier; internal stakeholders, high level of management.
+ Assists in the preparation of responses to regulatory agencies by prescribed timeframes.
**Minimum Requirements:**
+ Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
+ Ability to travel may be required.
**Preferred Skills, Capabilities & Experiences:**
+ Experience in commercial insurance compliance & regulation (self-funded, ERISA, ASO, Exchanges) is preferred.
+ Experience working in a behavioral health setting is preferred.
+ Experience with automation tools are preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
View Now

Healthcare Compliance Manager

45040 Mason, Ohio Elevance Health

Posted today

Job Viewed

Tap Again To Close

Job Description

**Healthcare Compliance Manager**
**Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Healthcare Compliance Manager** is responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.
**How You Will Make An Impact:**
+ Manage/oversee projects, initiatives, regulatory audits or exams, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.
+ Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates.
+ Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert.
+ Conducts complex investigations, document findings, and ensure corrective actions are made. Interface with external clients, regulators, vendors, supplier; internal stakeholders, high level of management.
+ Assists in the preparation of responses to regulatory agencies by prescribed timeframes.
**Minimum Requirements:**
+ Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
+ Ability to travel may be required.
**Preferred Skills, Capabilities & Experiences:**
+ Experience in commercial insurance compliance & regulation (self-funded, ERISA, ASO, Exchanges) is preferred.
+ Experience working in a behavioral health setting is preferred.
+ Experience with automation tools are preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
View Now

Healthcare Compliance Manager

23509 Norfolk, Virginia Elevance Health

Posted today

Job Viewed

Tap Again To Close

Job Description

**Healthcare Compliance Manager**
**Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Healthcare Compliance Manager** is responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.
**How You Will Make An Impact:**
+ Manage/oversee projects, initiatives, regulatory audits or exams, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.
+ Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates.
+ Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert.
+ Conducts complex investigations, document findings, and ensure corrective actions are made. Interface with external clients, regulators, vendors, supplier; internal stakeholders, high level of management.
+ Assists in the preparation of responses to regulatory agencies by prescribed timeframes.
**Minimum Requirements:**
+ Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
+ Ability to travel may be required.
**Preferred Skills, Capabilities & Experiences:**
+ Experience in commercial insurance compliance & regulation (self-funded, ERISA, ASO, Exchanges) is preferred.
+ Experience working in a behavioral health setting is preferred.
+ Experience with automation tools are preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
View Now

Healthcare Compliance Manager

23274 Richmond, Virginia Elevance Health

Posted today

Job Viewed

Tap Again To Close

Job Description

**Healthcare Compliance Manager**
**Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Healthcare Compliance Manager** is responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.
**How You Will Make An Impact:**
+ Manage/oversee projects, initiatives, regulatory audits or exams, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.
+ Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates.
+ Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert.
+ Conducts complex investigations, document findings, and ensure corrective actions are made. Interface with external clients, regulators, vendors, supplier; internal stakeholders, high level of management.
+ Assists in the preparation of responses to regulatory agencies by prescribed timeframes.
**Minimum Requirements:**
+ Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
+ Ability to travel may be required.
**Preferred Skills, Capabilities & Experiences:**
+ Experience in commercial insurance compliance & regulation (self-funded, ERISA, ASO, Exchanges) is preferred.
+ Experience working in a behavioral health setting is preferred.
+ Experience with automation tools are preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
View Now
Be The First To Know

About the latest Healthcare compliance Jobs in United States !

Analyst, Healthcare Compliance - Archimedes

37027 Brentwood, Tennessee Navitus Health Solutions

Posted 3 days ago

Job Viewed

Tap Again To Close

Job Description



Analyst, Healthcare Compliance - Archimedes

Location

US-TN-Brentwood

ID



Category

Archimedes

Position Type

Full-Time

Remote

No

Company

Archimedes

About Us

Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit - alignment, value and transparency - Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .___. Current associates must use SSO login option at to be considered for internal opportunities.

Pay Range

USD $0.00 - USD $0.00 /Yr.

Work Schedule Description (e.g. M-F 8am to 5pm)

Our Core Business Hours

Overview

The Analyst, Healthcare Compliance is responsible for ensuring Archimedes' operations, systems, and processes maintain continuous adherence to healthcare regulatory frameworks and industry standards, including HIPAA, SOC 2, and NCQA accreditation requirements. This role supports enterprise-wide compliance activities by coordinating audits, maintaining documentation, monitoring adherence to policies, and partnering with IT, Security, Operations, and external auditors to preserve an audit-ready posture. Operating within a compliance-first, healthcare-focused environment, the Analyst, Healthcare Compliance executes risk assessments, enforces data governance standards, and provides regulatory oversight for both internal operations and client-facing systems. The position develops and maintains compliance reporting, manages evidence collection, and supports remediation of gaps identified during internal or external audits.


In addition, this role acts as a liaison between compliance, IT, and business stakeholders to translate regulatory requirements into business processes and system controls. While compliance is the core responsibility (~75%), the role also contributes as a business analyst (~25%) by documenting workflows, gathering requirements for compliance-driven initiatives, and supporting the design of solutions that align business efficiency with regulatory obligations. The Analyst, Healthcare Compliance ensures Archimedes remains aligned with best practices for information security, privacy, and operational excellence in a highly regulated healthcare environment.

Responsibilities

Job Responsibilities:

    Maintain audit readiness for SOC 2 Type II, HIPAA, and NCQA by coordinating evidence collection, tracking controls, and preparing documentation.
  • Conduct and support internal audits, risk assessments, and remediation planning to close identified compliance gaps.
  • Draft, review, and update compliance policies and procedures; ensure alignment with HIPAA Privacy & Security Rules and SOC 2 control requirements.
  • Monitor compliance dashboards, audit logs, and control evidence to ensure timely execution of control activities.
  • Partner with external auditors, regulators, and accreditation bodies during reviews, providing required documentation and responses.
  • Support vendor due diligence and Business Associate Agreement (BAA) compliance reviews; maintain third-party risk documentation.
  • Collaborate with IT Security to ensure identity/access controls, endpoint protections, and data governance align with HIPAA and SOC 2.
  • Track regulatory changes (HIPAA, HITECH, NCQA, state/federal healthcare regulations) and assess organizational impact.
  • Deliver compliance training and awareness programs for employees, contractors, and vendors.
  • Support incident response activities, including investigation, documentation, and reporting of potential PHI breaches or compliance events.
  • Partner with stakeholders to gather requirements for compliance-driven initiatives (e.g., secure data integrations, PHI workflows, audit reporting).
  • Document processes, workflows, and use cases that demonstrate compliance alignment for IT and operational teams.
  • Translate compliance obligations into system requirements and specifications for IT/security implementation.
  • Participate in UAT (User Acceptance Testing) and system validation to ensure compliance-related requirements are met.
  • Develop compliance-related reporting dashboards (e.g., audit status, control evidence, incident tracking).
  • Support SOC 2 and HIPAA audit readiness, documentation, and remediation activities.
  • Maintain knowledge base documentation, SOPs, and internal IT training resources.
  • Participate in change management, incident response, and problem management processes in alignment with Compliance best practices.
  • Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.
  • Other duties as assigned.


Qualifications

Essential Background Requirements:

  • Education: Bachelor's degree in Healthcare Administration, Compliance, Business, Information Systems, or related field required.
  • Certification/Licenses:
    • Certified HIPAA Privacy or Security Professional (CHPC, CHC, or equivalent).
    • Certified Information Systems Auditor (CISA) or Certified in Risk and Information Systems Control (CRISC).
    • NCQA compliance program training/certification (preferred).
    • ITIL Foundation, CompTIA Security+, or equivalent compliance/security certifications beneficial.
  • Experience:
    • 3-5 years of compliance or audit experience in healthcare, PBM, pharmacy, or related regulated environment.
    • Strong knowledge of HIPAA Privacy & Security Rules, SOC 2 Trust Service Criteria, and NCQA accreditation standards.
    • Experience supporting internal and external compliance audits, risk assessments, and remediation efforts.
    • Familiarity with IT security principles, privacy frameworks, and vendor risk management.
    • Exposure to business analysis practices: requirements gathering, process documentation, and workflow mapping.
    • Working knowledge of IT security principles, compliance frameworks (SOC 2, HIPAA), and endpoint protection tools.
    • Skills & Technologies:
      • Compliance Frameworks: HIPAA, SOC 2, NCQA, HITECH, GDPR (preferred).
      • Audit & Risk Tools: GRC platforms, compliance management systems, or audit tracking tools.
      • Data Governance: Evidence collection, access control reviews, PHI/PII data handling practices.
      • Business Analysis Tools: Jira, Confluence, Visio, Lucid chart, or equivalent for workflows/requirements.
      • Reporting & Analytics: Power BI, Excel, or equivalent tools for compliance dashboards and evidence tracking.
      • Security & Privacy Practices: Access management, incident response, vendor compliance, privacy impact assessments.


Location : Address

5250 Virginia Way Ste 300

Location : City

Brentwood

Location : State/Province

TN

Location : Postal Code

37027

Location : Country

US
View Now

Remote Senior Sanitation Specialist (Healthcare Compliance)

45202 Cincinnati, Ohio $80000 Annually WhatJobs

Posted 7 days ago

Job Viewed

Tap Again To Close

Job Description

contractor
Our client is seeking a highly experienced and motivated Senior Sanitation Specialist to join their team on a fully remote basis, focusing on healthcare compliance and best practices. This role is critical for developing, implementing, and auditing sanitation protocols across various healthcare settings without the need for physical presence at a specific location. You will be responsible for ensuring that all sanitation procedures meet or exceed industry standards and regulatory requirements, including those set by OSHA, CDC, and Joint Commission. The ideal candidate will have a deep understanding of infection control, biohazard management, and the use of advanced cleaning technologies. Your expertise will guide the development of training materials, audit checklists, and compliance reports for our client's partners. This position demands excellent analytical skills, strong communication abilities to effectively liaise with remote teams and client stakeholders, and a proactive approach to identifying and mitigating sanitation-related risks. You will play a key role in shaping the company's sanitation strategy and ensuring consistent application of high-level standards across all serviced facilities. This is a unique opportunity to leverage your specialized knowledge in a remote-first environment, contributing significantly to public health and safety from anywhere. You will be expected to stay abreast of the latest research, technologies, and regulatory changes in the field of sanitation and infection control. This role requires a self-starter with impeccable organizational skills and the ability to work independently with a high degree of autonomy. The scope of work will involve virtual assessments, policy review, and remote consultation, making it ideal for a seasoned professional seeking flexibility. A strong emphasis will be placed on your ability to translate complex regulatory requirements into actionable sanitation plans.
Responsibilities:
  • Develop, review, and update comprehensive sanitation policies and procedures for healthcare facilities, ensuring compliance with all relevant regulations.
  • Create and deliver remote training modules and resources for cleaning staff and management.
  • Conduct virtual audits and assessments of sanitation practices using provided data and documentation.
  • Analyze sanitation data to identify trends, areas for improvement, and potential risks.
  • Provide expert consultation and recommendations to clients and internal teams on sanitation best practices and technologies.
  • Stay current with industry trends, regulatory changes, and emerging technologies in infection control and sanitation.
  • Prepare detailed reports and presentations on audit findings, compliance status, and improvement recommendations.
  • Collaborate with cross-functional teams to integrate sanitation protocols into overall facility management and safety programs.
  • Advise on the selection and appropriate use of cleaning agents, disinfectants, and equipment.
  • Serve as a subject matter expert on sanitation and infection prevention for the organization.
Qualifications:
  • Bachelor's degree in Public Health, Environmental Science, Microbiology, or a related field. Master's degree preferred.
  • Minimum of 8 years of experience in sanitation, infection control, or environmental services, with a significant portion in healthcare settings.
  • In-depth knowledge of healthcare regulations (OSHA, CDC, Joint Commission, EPA).
  • Proven experience in developing and implementing sanitation programs and training.
  • Excellent analytical, problem-solving, and critical thinking skills.
  • Strong written and verbal communication skills, with the ability to present complex information clearly.
  • Proficiency in using digital collaboration tools and Microsoft Office Suite.
  • Demonstrated ability to work independently and manage time effectively in a remote work environment.
  • Certification in Infection Control (CIC) or similar professional certification is highly desirable.
Apply Now

Program Manager, Policy Development

94066 San Bruno, California Google

Posted today

Job Viewed

Tap Again To Close

Job Description

Program Manager, Policy Development
_corporate_fare_ Google _place_ San Bruno, CA, USA
**Mid**
Experience driving progress, solving problems, and mentoring more junior team members; deeper expertise and applied knowledge within relevant area.
**Minimum qualifications:**
+ Bachelor's degree or equivalent practical experience.
+ 3 years of experience in program management at a multinational organization managing global initiatives.
+ 2 years of experience in program or project management.
**Preferred qualifications:**
+ Experience in trust and safety.
+ Understanding of project management techniques, methodologies and best practices.
+ Ability to navigate ambiguity, manage and coordinate multiple projects, and indirectly manage multiple teams simultaneously in a changing deadline-driven environment.
+ Ability to influence across all levels and functions of the organization and partner effectively.
+ Ability to take initiative to address problems and make continuous process improvements.
+ Ability to demonstrate process orientation.
**About the job**
As a Policy Development Program Manager, you will spend most of your time leading. You will grow in a changing, dynamic demanding environment where no two days are ever the same. This includes managing project schedules, identifying risks and clearly communicating goals to project stakeholders. Your projects often span offices, and time zones and it's your job to keep all the players coordinated on the project's progress and deadlines. You can balance the short term requirements we face while demonstrating the ability to see the big picture and make long-term recommendations accordingly.At YouTube, we believe that everyone deserves to have a voice, and that the world is a better place when we listen, share, and build community through our stories. We work together to give everyone the power to share their story, explore what they love, and connect with one another in the process. Working at the intersection of cutting-edge technology and boundless creativity, we move at the speed of culture with a shared goal to show people the world. We explore new ideas, solve real problems, and have fun - and we do it all together.
The US base salary range for this full-time position is $107,000-$153,000 + bonus + equity + benefits. Our salary ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. Your recruiter can share more about the specific salary range for your preferred location during the hiring process.
Please note that the compensation details listed in US role postings reflect the base salary only, and do not include bonus, equity, or benefits. Learn more aboutbenefits at Google ( .
**Responsibilities**
+ Manage program policy launches in partnership with the Policy Development ("PDev") team building project plans, timelines, and cross-functional partnerships.
+ Communicate program updates, issues, and recommendations to relevant stakeholders.
+ Identify and recommend improvements to existing team processes and tooling, enhancing efficiency and effectiveness.
+ Maintain accurate and up-to-date documentation of program plans, processes, and policies.
+ Create and maintain excellent working relationships with key stakeholders.
Information collected and processed as part of your Google Careers profile, and any job applications you choose to submit is subject to Google'sApplicant and Candidate Privacy Policy (./privacy-policy) .
Google is proud to be an equal opportunity and affirmative action employer. We are committed to building a workforce that is representative of the users we serve, creating a culture of belonging, and providing an equal employment opportunity regardless of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, criminal histories consistent with legal requirements, or any other basis protected by law. See alsoGoogle's EEO Policy ( ,Know your rights: workplace discrimination is illegal ( ,Belonging at Google ( , andHow we hire ( .
If you have a need that requires accommodation, please let us know by completing ourAccommodations for Applicants form ( .
Google is a global company and, in order to facilitate efficient collaboration and communication globally, English proficiency is a requirement for all roles unless stated otherwise in the job posting.
To all recruitment agencies: Google does not accept agency resumes. Please do not forward resumes to our jobs alias, Google employees, or any other organization location. Google is not responsible for any fees related to unsolicited resumes.
Google is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. See also and If you have a need that requires accommodation, please let us know by completing our Accommodations for Applicants form:
View Now
 

Nearby Locations

Other Jobs Near Me

Industry

  1. request_quote Accounting
  2. work Administrative
  3. eco Agriculture Forestry
  4. smart_toy AI & Emerging Technologies
  5. school Apprenticeships & Trainee
  6. apartment Architecture
  7. palette Arts & Entertainment
  8. directions_car Automotive
  9. flight_takeoff Aviation
  10. account_balance Banking & Finance
  11. local_florist Beauty & Wellness
  12. restaurant Catering
  13. volunteer_activism Charity & Voluntary
  14. science Chemical Engineering
  15. child_friendly Childcare
  16. foundation Civil Engineering
  17. clean_hands Cleaning & Sanitation
  18. diversity_3 Community & Social Care
  19. construction Construction
  20. brush Creative & Digital
  21. currency_bitcoin Crypto & Blockchain
  22. support_agent Customer Service & Helpdesk
  23. medical_services Dental
  24. medical_services Driving & Transport
  25. medical_services E Commerce & Social Media
  26. school Education & Teaching
  27. electrical_services Electrical Engineering
  28. bolt Energy
  29. local_mall Fmcg
  30. gavel Government & Non Profit
  31. emoji_events Graduate
  32. health_and_safety Healthcare
  33. beach_access Hospitality & Tourism
  34. groups Human Resources
  35. precision_manufacturing Industrial Engineering
  36. security Information Security
  37. handyman Installation & Maintenance
  38. policy Insurance
  39. code IT & Software
  40. gavel Legal
  41. sports_soccer Leisure & Sports
  42. inventory_2 Logistics & Warehousing
  43. supervisor_account Management
  44. supervisor_account Management Consultancy
  45. supervisor_account Manufacturing & Production
  46. campaign Marketing
  47. build Mechanical Engineering
  48. perm_media Media & PR
  49. local_hospital Medical
  50. local_hospital Military & Public Safety
  51. local_hospital Mining
  52. medical_services Nursing
  53. local_gas_station Oil & Gas
  54. biotech Pharmaceutical
  55. checklist_rtl Project Management
  56. shopping_bag Purchasing
  57. home_work Real Estate
  58. person_search Recruitment Consultancy
  59. store Retail
  60. point_of_sale Sales
  61. science Scientific Research & Development
  62. wifi Telecoms
  63. psychology Therapy
  64. pets Veterinary
View All Healthcare Compliance Jobs