- 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 (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
- Molina Healthcare (NY)
- …License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification ... **Opportunity to join our Marketplace Team as a Program Manager . Applicants should have a clinical background, at least...at least 2 years of supervisory experience in a healthcare setting that includes oversight of clinical staff. Experience… 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
- 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 (AZ)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions /… 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
- 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
- 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 (Ann Arbor, 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
- The Cigna Group (Bloomfield, CT)
- The Claims Strategy and Payment Integrity Senior Manager will play an important role in our Affordability strategy by providing claim payment oversight for the ... + Keep up to date with carrier/coding/billing rule changes to ensure compliance with state regulations and/or provider contracts. Support operations application of… more
- Molina Healthcare (Worcester, 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 (NE)
- **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
- AssistRx (Orlando, FL)
- The Project Manager will be a member of the PMO Team, reporting to the Director of Program Management. The PMO Team leads client software implementation projects and ... team to identify opportunities and develop solutions. The Project Manager is a critical role within the organization, and...successful completion of a pre-employment background check. + In compliance with federal law, all persons hired will be… more
- Access Dubuque (Dubuque, IA)
- Healthcare Accounting & Finance Senior Associate - Remote Eligible **Eide Bailly** 1 Positions ID: 7705 Posted On 10/30/2024 **Job Overview** **_Location:_** ... to any location in the United States **_Work Arrangement:_** Remote , hybrid or in-office **_Typical Day in the Life_**...this role you will work with clients in various healthcare care provider settings (hospital, health system, skilled nursing… more
- Robert Half (Boston, MA)
- JOB REQUISITION Risk and Compliance - Healthcare - Senior Manager LOCATION BOSTON ADDITIONAL LOCATION(S) NEW YORK CITY, SAN FRANCISCO, SEATTLE JOB ... looking for a Risk and Compliance Senior Manager to join our growing Healthcare team....clients while offering a flexible environment. The ratio of remote to in-person requirements vary by client, project, team,… more
- Trinity Health (Livonia, MI)
- …all hours being remote . This role is within the Integrity and Compliance department of IAS in the professional services Center of Excellence, providing support ... opportunity consists of a hybrid or remote position, with the majority or...on compliance issues detected through audits/reviews and compliance monitoring to their I&C Manager . Assists… more