10 field compliance auditor jobs found

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice (https://jobs.takeda.com/privacynotice) and Terms of Use (https://www.takeda.com/terms-and-conditions/) . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description OBJECTIVES: Provides oversight from a clinical research and pharmacovigilance perspective of regulated post-authorization activities in the commercial business units and affiliates. Contributes to and implements the engagement strategy among R&D, Business Units and affiliates and Quality to ensure a global framework and robust quality systems are in place for the transition of R&D pipeline to the commercial space. Drives a fit-for-use global Quality framework that elevates the capabilities in the...

Job Overview Provides oversight from a clinical research and pharmacovigilance perspective of regulated post-authorization activities in the commercial business units and affiliates. Contributes to and implements the engagement strategy among R&D, Business Units and affiliates and Quality to ensure a global framework and robust quality systems are in place for the transition of R&D pipeline to the commercial space. Drives a fit-for-use global Quality framework that elevates the capabilities in the business units and the affiliate and enables them to deliver their clinical research and pharmacovigilance-related regulated activities with high compliance and agility. Establish and maintain relationships with key stakeholders outside R&D such as the commercial Business Units, affiliates. Global Medical, Commercial Quality, etc., supporting post-authorization strategies through thought partnership and linking R&D SMEs and experts, as needed. Your Contributions...

A leading insurance company seeks an experienced IT Audit professional to lead audits, ensure compliance with regulations, and enhance operational resilience. Candidates should have 4–6 years of relevant experience and a Bachelor's degree in a related field. This full-time position offers a salary range of $77k–$111k. Benefits include medical and vision insurance, a 401(k), and paid maternity leave. #J-18808-Ljbffr

Associate Director, Clinical PV & Medical Quality, CPMQ Global Regions Join to apply for the Associate Director, Clinical PV & Medical Quality, CPMQ Global Regions role at Takeda . Base pay range: $153,600.00/yr - $241,340.00/yr. U.S. based employees may be eligible for short‑term and/or long‑term incentives and a variety of benefits including medical, dental, vision, 401(k), disability, life insurance, tuition reimbursement, paid volunteer time off, holidays, well‑being benefits, up to 80 hours sick time and 120 hours paid vacation for new hires. Salary will reflect qualifications, experience, education, certifications, location, and applicable wage requirements. OBJECTIVES Provides oversight from a clinical research and pharmacovigilance perspective of regulated post‑authorization activities in the commercial business units and affiliates. Contributes to and implements the engagement strategy among R&D, Business Units and affiliates and Quality to ensure a...

WilmerHale is a leading, full-service international law firm with 1,000 lawyers located throughout 12 offices in the United States, Europe and Asia. Our lawyers work at the intersection of government, technology and business, and we remain committed to our guiding principles of providing quality, excellent legal and client services; developing diversity among our lawyers and staff and cultivating an environment that promotes an ambitious spirit, collaboration and collegiality by drawing on the extraordinary talents and dynamic experience of our lawyers. Our goal is to reflect the diversity of our clients and the communities in which we practice. Serves as the expert providing solutions and services to defense against malicious threats by delivering foundational security solutions and services. The role must identify evolving trends, weakness, and vulnerabilities and craft robust countermeasures to prevent malicious attacks. The role develops, implements, and supervises...

Job Description Job Description Benefits: Competitive salary Flexible schedule Opportunity for advancement Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary The Home Health Medical Biller is responsible for accurately managing the billing cycle for home health services, ensuring timely submission of claims, and securing optimal reimbursement from Medicare, Medicaid, and commercial insurance plans. This role includes verifying patient eligibility, reviewing clinical documentation, coding diagnoses and services, resolving claim denials, following up on outstanding balances, and maintaining strict compliance with federal, state, and payer-specific regulations. The biller collaborates closely with clinicians, intake, quality assurance, and authorization teams to ensure clean claims and accurate billing. Strong attention to detail, proficiency with EMR and clearinghouse systems, and the ability to communicate...

Benefits Competitive salary Flexible schedule Opportunity for advancement Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary The Home Health Medical Biller is responsible for accurately managing the billing cycle for home health services, ensuring timely submission of claims, and securing optimal reimbursement from Medicare, Medicaid, and commercial insurance plans. This role includes verifying patient eligibility, reviewing clinical documentation, coding diagnoses and services, resolving claim denials, following up on outstanding balances, and maintaining strict compliance with federal, state, and payer-specific regulations. The biller collaborates closely with clinicians, intake, quality assurance, and authorization teams to ensure clean claims and accurate billing. Strong attention to detail, proficiency with EMR and clearinghouse systems, and the ability to communicate effectively with payers and internal staff are...

QHP Coding Auditor (REMOTE) QHP Coding Auditor (REMOTE) Our client is seeking a highly skilled QHP Coding Auditor to perform initial chart reviews and ensure the highest standards of coding accuracy in a remote setting. The ideal candidate is detail-oriented, self-directed, and adept at maintaining precision under minimal supervision. Success in this role requires a balance of analytical rigor, strong communication, and disciplined organization to uphold compliance across multiple coding models. This role is fully remote. Applicants must be able to work EST hours. QHP Coding Auditor Responsibilities Conduct initial chart reviews and coding quality audits to validate ICD-10-CM code accuracy. Abstract and audit codes for QHP (RADV) projects, ensuring documentation fully supports coding decisions. Apply state, federal, and CMS documentation requirements consistently across all assignments. Maintain a minimum 95% accuracy rate on all coding projects. Utilize ICD-10-CM...

Behavioral Health Coder Come join our billing team! Open Sky is looking for a skilled, part-time Behavioral Health Coder to provide coding support to the organization. They will audit clinical documentation for Evaluation and Management and psychotherapy services by validating coded data, ensuring services rendered support reimbursement and reporting purposes. The coder will also evaluate electronic health records to identify any documentation deficiencies and ensure all revenue is captured. Other Key Responsibilities: Serve as resource and subject matter expert to staff. Collaborate with clinicians on documentation discrepancies. Support the VP of Accounting & Financial Reporting and the Billing Manager with projects related to third party billing. Comply with behavioral health coding guidelines and policies. Qualifications: High School diploma, GED or equivalent, required. Certified professional coder with specialization in behavioral health, required. 3-5...

Job Description OBJECTIVES: Provides oversight from a clinical research and pharmacovigilance perspective of regulated post-authorization activities in the commercial business units and affiliates. Contributes to and implements the engagement strategy among R&D, Business Units and affiliates and Quality to ensure a global framework and robust quality systems are in place for the transition of R&D pipeline to the commercial space. Drives a fit‑for‑use global Quality framework that elevates the capabilities in the business units and the affiliate and enables them to deliver their clinical research and pharmacovigilance‑related regulated activities with high compliance and agility. Establish and maintain relationships with key stakeholders outside R&D such as the commercial Business Units, affiliates, Global Medical, Commercial Quality, etc., supporting post‑authorization strategies through thought partnership and linking R&D SMEs and experts, as needed. How will...