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Telligen
Telligen
501 – 1 000 Xodimlar
H1B vizasi homiysiSog‘liqni saqlashSug‘urtaTibbiy sug‘urta
Telligen AQSh hukumatining sog‘liqni saqlash agentliklari, Medicaid dasturlari, sog‘liqni saqlash rejalari, ish beruvchilar va boshqariladigan tibbiy yordam tashkilotlari bilan ishlaydigan sog‘liqni saqlash va sug‘urta kompaniyasidir. Uning xizmatlari sog‘liqni saqlash sohasidagi tajribani ma’lumotlar tahlili, sifatni o‘lchash, dasturlarni boshqarish, sog‘liqni saqlash axborot texnologiyalari, tibbiy xizmatlardan foydalanishni boshqarish, tibbiy yordamni boshqarish va sog‘lom turmush dasturlari bilan birlashtiradi. Telligen, shuningdek, sog‘liqni saqlash natijalarini yaxshilash va aholi salomatligini boshqarishga qaratilgan milliy hamda bir nechta shtatni qamrab oluvchi sifatni yaxshilash tashabbuslarini qo‘llab-quvvatlaydi.
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Kompaniyadagi ish o‘rinlari

Contracts and Compliance Manager

Lead contract oversight and compliance for Telligen’s Medicaid Tailored Care Pathways program. The role covers HFS requirements, audits, reporting, corrective actions, and operational procedures.

USAmerika Qo‘shma ShtatlariILIllinoysIAAyova
118 000 $ – 146 000 $ / yil
GibridTo‘liq stavkaSeniorYetakchiTalab Qilinadigan Til: inglizchaMuvofiqlik

Tavsif

  • Lead contracting and compliance for Telligen’s Tailored Care Pathways program.
  • Advise program teams as a subject matter expert.
  • Act as the primary contact for company contracting activities.
  • Ensure TCMP services are delivered, documented, and reported in line with HFS policies and the requirements of the Williams and Colbert Consent Decrees.
  • Create, implement, and maintain compliance policies, procedures, processes, and practices.
  • Translate contract terms, policies, and program guidance into operational procedures and compliance activities.
  • Review program activity and documentation for compliance, identifying needed follow-up or corrective action.
  • Work with program leaders and operations teams to address compliance concerns.
  • Maintain records that demonstrate contractual, regulatory, and program compliance.
  • Help prepare, review, and submit reports, documentation, and contract deliverables.
  • Track updates to HFS policies, contract requirements, and program guidance, and coordinate internal changes.
  • Assist with internal and external audits, monitoring, and compliance reviews.
  • Identify compliance risks and process improvements, and recommend corrective or preventive measures.
  • Follow compliance issues and corrective actions through resolution.
  • Educate and guide staff on contract requirements, policies, procedures, and compliance expectations.
  • Coordinate with internal stakeholders to support consistent TCMP implementation.
  • Carry out other assigned contract and program compliance duties.

Talablar

  • Bachelor’s degree in business administration, healthcare administration, public administration, compliance, or a related area, or equivalent experience.
  • At least seven years of experience in contract compliance, healthcare program administration, regulatory compliance, quality management, or a related field.
  • Experience with healthcare regulatory compliance and Medicaid programs is required.
  • At least one year of experience leading or managing staff in compliance or contracting.
  • Ability to interpret contracts, policies, regulations, and program guidance and turn requirements into operational procedures and compliance activities.
  • Strong analytical, organizational, documentation, problem-solving, customer service, and communication skills.
  • Ability to handle competing deadlines and work across functions.
  • Proficiency with Word, Excel, Adobe Acrobat, and database or customer relationship management systems.
  • Ability to manage multiple requirements, deadlines, and compliance activities at once.
  • Ability to work effectively with program, operations, quality, and leadership teams.
  • Ability to travel overnight 5% to 10% of the time.
  • Knowledge of applicable OMB policies and Federal Acquisition Regulations is preferred.
  • NCMA certification is preferred.
  • Telligen does not sponsor work authorization; applicants who require sponsorship now or in the future cannot be considered.

Imtiyozlar

  • Employee-owned company where employees share in its success.
  • Benefits and other compensation are outlined in Telligen’s Benefits Summary.
  • Equal opportunity employer.
  • Reasonable accommodations are available during the employment process.

O‘xshash ish o‘rinlari

S&C Electric Company

Ethics and Compliance Manager

S&C Electric Company
1 001 – 5 000 Xodimlar
H1B vizasi homiysiApparat ta’minotiEnergetikaIshlab chiqarish
USAmerika Qo‘shma ShtatlariILIllinoys
96 514 $ – 127 886 $ / yil
GibridTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaMuvofiqlik

Oversee S&C Electric’s global ethics and compliance operations, including third-party risk, helpline cases, policies, investigations, and reporting. Help support the company’s work to strengthen the electrical grid.

Ochish
Health Care Service Corporation

Compliance Investigator

Health Care Service Corporation
H1B vizasi homiysiKonsaltingSog‘liqni saqlashSug‘urta
USAmerika Qo‘shma ShtatlariILIllinoysTXTexas
63 300 $ – 114 300 $ / yil
GibridTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaMuvofiqlik

Investigate alleged misconduct and policy violations at Health Care Service Corporation, prepare findings, and recommend corrective action. The role also monitors compliance risks and advises on conflicts of interest and company policies.

Ochish