- Molina Healthcare (Waltham, MA)
- …health plans for members who reside in Massachusetts. We are looking for a Manager , Healthcare Services candidate with a MA RN licensure** . **The** **Candidate ... AM to 5:00 PM EST** **MA RN licensure required** **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight of… more
- Molina Healthcare (New York, NY)
- …RN, NY LMSE or NY LCSW licensure required.** **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight of ... License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification… more
- Molina Healthcare (KY)
- …for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare ... is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $73,102 - $171,058 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
- DAS Health (Tampa, FL)
- …held companies in the country for 10 years, DAS Health is seeking a full-time, remote Senior Healthcare Account Manager to join our team! The Senior ... Healthcare Account Manager (FLSA exempt role) is responsible for managing a...DAS Health has been bridging the gap between regulatory compliance , business goals and personal service, empowering our clients… more
- The Cigna Group (Nashville, TN)
- **_Location: Remote , Nashville, TN (_** **_candidate must live in/or near market area)_** **_Must have a current active Health and Life Insurance license_** ... and share in changing the way people think about healthcare . **_Market Location: Nashville, TN *candidate must live in...Location: Nashville, TN *candidate must live in market area* remote work at home opportunity and have a current… more
- DAS Health (Tampa, FL)
- …privately held companies in the country for 10 years, DAS Health is seeking a full-time, remote Healthcare Account Manager I to join our team! The ... Healthcare Account Manager I (FLSA exempt role) is responsible for managing...DAS Health has been bridging the gap between regulatory compliance , business goals and personal service, empowering our clients… more
- Lundbeck (Deerfield, IL)
- Manager Commercial Operations Compliance - Remote Opportunity Requisition ID: 5811 Location: Deerfield, IL, US Do you want to join a team where the mission ... transform lives. Join us on our journey of growth! ** Remote Opportunity - open to candidates anywhere in the...candidates anywhere in the greater United States** **SUMMARY:** The Manager , Commercial Operations Compliance will have primary… more
- Magellan Health Services (Honolulu, HI)
- …flow charting and other relevant software systems and applications. General Job Information Title Compliance Manager HMSA - remote in Honolulu HI Grade 26 ... Remote in Honolulu HI Serves as the compliance and privacy manager for assigned areas...Work Experience - Required Compliance Work Experience - Preferred Healthcare Education… more
- Molina Healthcare (MS)
- **_ Remote and must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... to adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in … more
- Molina Healthcare (MA)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **The focus of this position will be member outreach… more
- Molina Healthcare (AZ)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **A background in quality/HEDIS is very important for this… more
- Molina Healthcare (UT)
- …Behavioral Health business overseeing projects. We are looking for a Clinical Programs Manager with a LMSW or LCSW, LCPC/LPC or RN-Psych licensure. Broad knowledge ... **Work hours: Monday - Friday 8:00am- 5:00PM EST.** **This is a remote position with some business field travel.** **KNOWLEDGE/SKILLS/ABILITIES** + Assists senior… more
- Molina Healthcare (MS)
- **_ Remote and must live in Mississippi _** **Job Description** **Job Summary** The Program Manager , Provider Engagement is part of our innovative Risk ... plan teams, external vendors, actuary, and finance. Direct reports to the Manager include program specialist. The position's essential functions are as follows: *… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **IT Governance Contract & Compliance Manager II - Digital and Technology Partners Governance - Remote , Req#3020493** The Mount Sinai ... Under the direction of the Director, DTP Governance, the Compliance Manager will support the programs and...+ Enterprise awareness, breadth and depth of scope of Healthcare environment + Understanding of IT Governance role +… more
- Molina Healthcare (Jackson, MS)
- …License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification ... reside in the state of MS_ **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to… more
- Nestle (Bridgewater, NJ)
- …and/or pharmaceutical legal industry, with progressive experience and leadership within corporate compliance roles. + Healthcare Compliance Certificate (ie ... the pharmaceutical/biotechnology industry. + Hands-on substantive experience in developing healthcare compliance training and communications materials, and the… more
- Molina Healthcare (Sterling Heights, MI)
- …to adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in ... compliance with all relevant federal, state and local regulations....knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts including but… more
- Ramsey County (St. Paul, MN)
- Healthcare Compliance Manager Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/4730411) Apply Healthcare Compliance Manager ... weighted as indicated: + Training and Experience Rating = 100% The examination for Healthcare Compliance Manager will consist of a training and experience… more
- Molina Healthcare (New Bedford, MA)
- **_ Remote and must live in Massachusetts _** **Job Description** **Job Summary** Provides leadership and direction to MMS Operational Units management staff (eg, ... management and supervision of daily functional operations to insure compliance to contract requirements. **Knowledge/Skills/Abilities** * Oversees budget responsibilities… more
- Molina Healthcare (NM)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... and make decisions as needed while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables… more