• Hourly
  • Expert
  • Est. time: 3 to 6 months, Less than 30 hrs/week

Drive proactive compliance initiatives in the dynamic landscape of Durable Medical Equipment (DME) and Complex Rehab, to safeguard company interests and ensure adherence to regulatory requirements. Develop and implement comprehensive compliance programs and policies that align with CMS Medicare & DHCS Medi-Cal (Medicaid) standards, HIPAA regulations, government laws for DME providers, and accreditation requirements. Conduct regular DME billing and HIPAA audits and assessments to identify compliance risks and deficiencies and develop strategies to mitigate them in alignment with accreditation and regulatory standards. Investigate allegations of non-compliance, fraud, or misconduct, and collaborate with relevant stakeholders to address issues promptly and effectively. Provide guidance, training, and support to staff on compliance-related matters such as HIPAA standards, Fraud/Waste/Abuse, and any/all required industry specific topics. Monitor and track compliance metrics, accreditation status, and regulatory updates, and prepare regular reports for senior management, including Quarterly Performance Improvement, to assess compliance performance and identify areas for improvement. Serve as a liaison with accrediting bodies, regulatory agencies, auditors, and external stakeholders to facilitate compliance-related inquiries, audits, and inspections.

Microsoft OfficeProject ManagementSix SigmaCompany PolicyManagement SkillsComplianceQuality AssuranceHealthcareCompliance ConsultationGovernment Reporting ComplianceHIPAARegulatory ComplianceLegal
  • Hourly
  • Intermediate
  • Est. time: More than 6 months, 30+ hrs/week

THIS IS NOT A BUSINESS ANALYST POSITION! Lean Six Sigma certification required. 40 hours a week, Monday-Friday, 8AM-5PM in U.S. time zone. Our company, well known in the Leadership Development field is looking for an experienced process analyst to work in a pool of other process analysts, supporting the Global Business Process Office. You'll spend most of your time documenting and analyzing internal workflows and business processes collaborating with internal subject matter experts and assessing waste (Lean), data, and information. Projects range in scope - some are IT related others support operational functions. Responsible for documenting business process modeling activities, analyzing and assessing business processes and requirements, identifying, and suggesting improvements to existing processes, and making recommendations to support process improvements. Experience documenting business processes using a standard such as BPMN (Business Process Management Standards, BPMN (Business Process Management Notation), and/or UML (Unified Modeling Language) to deliver consistent, high-quality business process assets. We are growing our Lean Six Sigma maturity within the larger organization, so contractor must be ready to teach, explain, and get tactical. We are data poor, so you'll need to get creative about assembling data from qualitative methods, using your toolkit of Lean Six Sigma tools. You'll be comfortable crafting process flowcharts, procedures, work instructions, SIPOCs, value stream maps, as well as GAP logs, risk and issues, prioritization maps and other items common to a LSS practitioner. You'll support efforts to achieve higher process governance, maturity, and value through project approach. The best candidate will have a high tolerance for agile work, ambiguous scope, changing priorities, multi-tasking and able to thrive in a fast-paced environment. Exceptional management, problem solving, organizational, and communication skills are required. Requirements: Bachelor's Degree, Lean Six Sigma Green Belt Certification (minimum), demonstrated understanding and ability to apply improvement methodologies such as DMAIC, Lean, and Six Sigma. 5+ years of experience in operations, operations improvement, or in business process management field. Experience documenting using a standard writing style (such as UML). Knowledge of and experience using project management methodology (certification a plus, but not required). Knowledge of and experience in change management a plus. Excellent computer skills including Excel (QI Macros), Visio, Word, SharePoint, project management software and/or platforms (such as ClickUp, Microsoft Project, Monday or other). Note: We use ClickUp. Lastly ... you'll work in an up-and-coming part of the organization with a team of other pioneers. The process analyst team is a close-knit group of innovators, that supports one another, and works every day on Lean Six Sigma best practices in application to their projects. We want to hire a person that gets along with others, rolls with the punches, puts in a good day's work, likes to help others, doesn't need a lot of hand holding, and can work with a variety of internal people, from VPs to SMEs. Every day, you'll translate your experience from another industry for use in a professional services organization which can be challenging. Final applicants will be asked to submit 1) Resume 2) Visio Examples 3) SIPOC 4) Documentation Samples or other additional samples that show us your ability. It is OK to black out confidential details.

Technical Documentation ManagementAgile Project ManagementChange ManagementBusiness with 100-999 EmployeesSix SigmaBusiness Process ModelingContinuous ImprovementBusiness Process ReengineeringProcess Infographics
  • Hourly
  • Intermediate
  • Est. time: More than 6 months, 30+ hrs/week

Upwork ($UPWK) is the world’s work marketplace. We serve everyone from one-person startups to over 30% of the Fortune 100 with a powerful, trust-driven platform that enables companies and talent to work together in new ways that unlock their potential. Last year, more than $3.3 billion of work was done through Upwork by skilled professionals who are gaining more control by finding work they are passionate about and innovating their careers. This is an engagement through Upwork’s Hybrid Workforce Solutions (HWS) Team. Our Hybrid Workforce Solutions Team is a global group of professionals that support Upwork’s business. Our HWS team members are located all over the world. Work/Project Scope: - Drive work intake and execution through scrum processes for core (Run-the-business) work and traditional projects for larger initiatives.  - Partner with the Engineering Team Lead(s) to understand work requests, capture requirements, identify the timeline, create tasks and ensure completion.  - Coordinate cross-functional meetings to build project plans, task execution plans, release plans and other artifacts as needed. - Provide situational leadership and focus to ensure the timely execution and delivery of the activities and success criteria contained in the project plan and schedule. - Remove ambiguity by connecting teams or individuals (or escalating if needed) so sprints and tasks progress as scheduled. - Maintain data integrity, completeness and accuracy in team tools for work tracking and reporting Lead effective and efficient meetings such as stand-ups, sprint planning, release planning and retrospectives. Drive towards (and track) dates, commitments and next steps. - Lead the translation of roadmap programs into documented projects, milestones and tasks - Provide status, project metric updates for each of your assigned roadmap projects and team sprints on a consistent basis. - Take ownership of impediments and/or obstacles that cannot be resolved by the teams and drive escalation management & resolution. - Partner with team owners to fulfill the scrum master role where needed. Help teams to live agile values, processes and actions for continuous improvement. - Be an active participant in the PMO and how we build processes that leverage automation to drive standardization and a consistent delivery. Must Haves (Required Skills): - Proven years of Technical Project Management experience in a related industry - Experienced in organizing work via implementing Scrum and Kanban processes - You have shown success leading multiple major and concurrent technology program management efforts - Significant experience working with engineering leadership, technical teams and individual contributors - Ability to communicate authoritatively at a sufficient technical depth using dashboards, charts & executive summaries - Experience tracking work updates in JIRA, Confluence and modern tools for project and broader program management - Experience with managing projects and teams working on AWS, Azure and/or Google Cloud Platform technologies - Experience with DevOps model - Experience working on InfoSec, IT and Customer related projects - Experience implementing and executing SCRUM methodologies while also managing traditional waterfall deliverables - SCRUM certified or equivalent experience - PMP certification or equivalent experience Upwork is proudly committed to fostering a diverse and inclusive workforce. We never discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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