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Highmark Health
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Atlanta, Georgia
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but not recorded reserve decision making.
Oversees compliance matters including product filings, resolution of regulatory issues, responses to regulatory inquires, for a variety of products and programs
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Highmark Health
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Atlanta, Georgia
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SME on the most complex projects (cross functional, with potential regulatory risk exposure, customer ... multiple systems) and/or develops alternative solutions with understanding of potential regulatory risk
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Highmark Health
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Atlanta, Georgia
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**
One year in home clinical or case management experience
Certified Case Manager (CCM ... territory
Ability to meet regulatory deadlines.
Has a dedicated home work space used only for
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Highmark Health
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Atlanta, Georgia
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business capability, operational efficiency, regulatory, security and privacy considerations into ... Information Security Manager (CISM), etc.)
Language (Other than English):
None
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Highmark Health
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Atlanta, Georgia
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all regulatory compliance requirements and service level agreements. The requests may come via fax or ... to prevent compliance and/or downstream process issues.
Other duties as assigned
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Highmark Health
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Atlanta, Georgia
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implementation to executive leadership, regulatory bodies, external customers, external auditors and other ... ._
Compliance Requirement: _This position adheres to the ethical and legal standards and behavioral
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Highmark Health
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Atlanta, Georgia
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.
Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards.
Maintain current knowledge and adheres
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Highmark Health
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Atlanta, Georgia
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the Organization comply with regulatory and contractual requirements. Primary tasks include ... applicable to vendor issues impacting regulatory and contractual requirements.
**ESSENTIAL
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Highmark Health
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Atlanta, Georgia
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appropriate, follow-up on appeals in accordance with our regulatory guidelines. The incumbent develops and ... , responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement
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Highmark Health
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Atlanta, Georgia
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works collaboratively to support of all risk and compliance assessment activities of Highmark Health ... .Collaborate and communicate with Information Security, Privacy, Procurement, Audit, Compliance, and other
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Highmark Health
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Atlanta, Georgia
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.
Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards.
Maintain current knowledge and adheres
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Highmark Health
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Atlanta, Georgia
...
.
Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards.
Maintain current knowledge and adheres
...
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Highmark Health
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Atlanta, Georgia
...
.
Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards.
Maintain current knowledge and adheres
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Highmark Health
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Atlanta, Georgia
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; and ensure CLM solution and process meet all regulatory compliance requirements.
Manage the ... including any required regulatory reporting.
**This role is hybrid with 3 days a week onsite if you
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Highmark Health
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Atlanta, Georgia
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, quality and compliance.
Ensure compliance with all regulatory entities (i.e., DOH, CMS, NCQA, etc ... assurance and compliance.
Research quality issues and responds to error assessments. Maintain
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