Top 21 Healthcare compliance Jobs in Birmingham Al

Senior Manager, Regulatory Compliance
Behavioral Health Systems, Inc. —Birmingham, AL
- $120,000 - $150,000 a year
- Full-time
- Hybrid work
- 5 years
- Case management
- Travel
- Health insurance
- Dental insurance
Quick Apply
Specialist, Government Client Contracts Management (Fed Health)
Deloitte —Birmingham, AL
- $66,200 - $121,800 a year
- Full-time
- Mid-level
- Bachelor's degree
- Travel
Chief Compliance Officer
UAB Medicine —Birmingham, AL
- Full-time
- Master's degree
- Continuous improvement
- Mentoring
Senior Compliance Analyst
SCA Health —Birmingham, AL
- $75,000 - $85,000 a year
- Full-time
- HIPAA
- Mid-level
- Finance
- Disability insurance
- Health insurance
14d
Specialist Lead, Government Client Contracts Management (Fed Health)
Deloitte —Birmingham, AL
- $84,300 - $155,400 a year
- Full-time
- Bachelor's degree
- Travel
- US work authorization
Vendor Contracts Administrator
VIVA HEALTH —Birmingham, AL
- Hybrid work
- Microsoft Excel
- HIPAA
- Mid-level
- Wellness program
- Paid parental leave
Quick Apply
Inpatient Coding Auditor
Huron Managed Services LLC —Birmingham, AL
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
Quick Apply
6d
Compliance Director (Hospice)
ExpectCare Hospice —Hoover, AL
- Full-time
- Background check
- Organizational skills
- In-person
- Health insurance
- Dental insurance
Quick Apply

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Based on your search for healthcare compliance jobs.

Chief Compliance Officer
UAB Medicine —Birmingham, AL
Master's Degree in a related field and ten (10) years of progressively responsible experience in health care compliance, regulatory oversight, audit, or related…

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Compliance Specialist I
Integrated Services for Behavioral Health —Columbus, OH
A valid driver's license and the ability to operate a motor vehicle is required. A bachelor’s degree in healthcare administration, public health, social work,…
$27.60 - $33.65 an hour
Quick Apply
11d
Provider Compliance Manager (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. If position oversees assessment or reassessment of…
$40.40 an hour
5d

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Senior Manager, Regulatory Compliance

Behavioral Health Systems, Inc. -
Birmingham, AL

Quick Apply

Job Details

Full-time
$120,000 - $150,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Life insurance

Qualifications

Customer communication
Case management
Staff training
Quality improvement
Organizational skills
Quality audits

Full Job Description

Job Overview
Reporting to the Head of Commercial Operation or designee, this position oversees corporate regulatory compliance, internal compliance with BHS corporate, clinical services and other divisional policies, and quality assurance/quality improvement and accreditation activities.

Duties

Compliance

Ensure compliance with TELUS Health/BHS policies and all applicable federal and state regulations, including but not limited to ERISA, HIPAA, MHPAEA, and ACA.
Stay current and informed on all applicable federal and state regulations and compliance requirements. Serve as liaison with BHS healthcare attorneys on legislative/regulatory matters. Recommend and implement policy changes or additions as appropriate to ensure compliance. Serve as a resource for all divisions, clients and BHS customers as appropriate.
Manage TELUS Health (California) Ltd. Knox-Keene license, including board meetings as requested and audits.
Develop client-specific NQTL analyses and requested, in coordination with other divisions and outside counsel as appropriate. Maintain BHS' Book of Business NQTL report.
Oversee TELUS Health/BHS complaints and appeals processes, to include Federal External Reviews. Review all appeals and patient/provider complaints, direct Appeal Committee meetings and prepare appeal/complaint responses as appropriate.
Conduct staff orientation and training on clinical and other policies pertinent to federal and state regulations and requirements, and quality standards. Provide ongoing guidance to staff regarding compliance and quality assurance matters.
Maintain all state license/certification/registration flings, to include name and trademark registrations.
Assist in the development and updating of clients' SPD's, SBC's and other benefit plan documents, and the analysis of client benefits to ensure all are MHPAEA and ACA compliant. Oversee the accurate input of benefits into the BYS system.
Oversee the corporate accreditation process.

Quality Assurance

Oversee corporate quality assurance activities throughout all levels of the organization. Serve on the Quality Assurance (QA) Committee. Promote adherence to corporate and divisional quality assurance policies. Recommend new policies as appropriate.
Conduct divisional quality audits, including but not limited to regular patient chart audits. Utilize audit findings to improve care management effectiveness, corporate customer/patient satisfaction, and services across all BHS departments.
Oversee the review and resolution of patient satisfaction survey concerns. Assist in maintaining the organization's 96% patient satisfaction rating.
Serve as the corporate liaison for all subpoenas, lawsuits, or complaints filed against the company.

Qualifications

Advanced degree preferred.
5+ years' experience in healthcare compliance (Knox-Keene expertise preferred)
5+ years' quality assurance experience
5+ years' mental health parity experience required
Experience in managed care/PPO environment and case management/utilization review
Proficiency in MS Office suite
Strong communication, organization, and problem-solving skills
Experience in staff supervision/training and group presentations
Ability to travel, with advance notice, up to 20% (4 days per month)

Job Type: Full-time

Pay: $120,000.00 - $150,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Vision insurance

Experience:

Mental Health Parity: 5 years (Required)

Work Location: Hybrid remote in Birmingham, AL 35209

Quick Apply

Refine Your Search

healthcare compliance jobs in birmingham al

Senior Manager, Regulatory Compliance

Specialist, Government Client Contracts Management (Fed Health)

Chief Compliance Officer

Senior Compliance Analyst

Specialist Lead, Government Client Contracts Management (Fed Health)

Vendor Contracts Administrator

Inpatient Coding Auditor

Compliance Director (Hospice)

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