22 Healthcare Compliance Specialist jobs

United States (Remote)

Category: Health Care Location: Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role,…

United States (Remote)

Welcome! We’re excited you’re considering an opportunity with us!

Riverside, California, US (Hybrid)

Job Description Job Summary Provides support for clinical facility site reviews.

United States (Remote)

$56.2–101K / year

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to…

United States (Remote)

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and…

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

About the Role We are seeking Registered Nurses with at least 5 years of clinical experience — bedside nursing, case management, clinical nurse…

United States (Remote)

Welcome! We’re excited you’re considering an opportunity with us!

United States (Remote)

$18.00 – $28.00 / hour

Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers…

United States (Remote)

Quality Assurance Registered Nurse (RN) - Home Health Location: Remote Job Type: Full Time Sequoia Home Health, a proud member of the Pennant Group…

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Utilization Management is responsible for the oversight of all utilization management activities ensuring consistency of…

United States (Remote)

From $42.00 / hour

We are seeking a dedicated and compassionate Registered Nurse (RN) to join our team as a Telehealth Medicare Annual Wellness Visit Specialist - PRN.

United States (Remote)

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and…

United States (Remote)

We are more than a health system.

United States (Remote)

$42.00 / hour

We are seeking a dedicated and compassionate Registered Nurse (RN) to join our team as a Telehealth Medicare Annual Wellness Visit Specialist - PRN.

United States (Remote)

$84.5–90K / year

Overview HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs.

Glenview, Illinois, US (Hybrid)

$23.00 – $39.00 / hour

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

Addison, Illinois, US (Hybrid)

$23.00 – $39.00 / hour

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

Monterey Park, California, US (Hybrid)

$21.00 – $26.00 / hour

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator – Denials to join our Denial Department.

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.