- Elevance Health (Atlanta, GA)
- …organization. + Strong leadership/managerial skills and the ability to motivate/coach staff . + Experience managing multi-state compliance programs including ... Plan, design, develop and lead activities to ensure an effective Compliance program. + Oversees programs for multiple departments/functions with numerous… more
- CareFirst (Baltimore, MD)
- …members and accounts. **ESSENTIAL FUNCTIONS:** **Clinical Physician Executive Leader** + The Vice President and Chief Medical Officer has the primary ... our members while pursuing and supporting corporate objectives and maintaining compliance with regulatory bodies. Provides direction and oversight to all doctoral… more
- SSM Health (St. Louis, MO)
- …of advocacy and support for patients, families, practitioners and professional staff and the organization. + Serves as the regional/ministry physician expert, ... care delivery and care progression. + Uses operational knowledge of Center for Medicare Services (CMS) guidelines and a keen understanding of the payor market and… more
- SSM Health (St. Louis, MO)
- …appropriate balance of advocacy and support for patients, families, practitioners, professional staff and the organization. + Serves as the physician expert and ... care delivery and care progression. + Uses operational knowledge of Center for Medicare Servives (CMS) guidelines and a keen understanding of the payor market and… more
- Elevance Health (Atlanta, GA)
- …providing information technology and business operations services for health plans. ** Staff VP Carelon Global Compliance ** **Location:** **Atlanta, ... support and oversight on the business stakeholder. The Staff VP will support the leadership team...Regulatory Compliance ; Commercial and Specialty, Medicaid and Medicare Compliance ; Finance; Procurement; Corporate Governance; and… more
- Elevance Health (Chicago, IL)
- **Title:** Staff VP , Accreditation & Quality Programs **Location:** Within 50 miles of a PulsePoint office with strong preference given to Washington DC, ... across multiple lines of business and applicable entities. The Staff VP works with business leaders and...multiple quality programs including the EQOC, supports business lines compliance , provides value assessment to support business growth. +… more
- The Cigna Group (Bloomfield, CT)
- …Development and Solutions Team, supporting the Northeast Region. This role reports to the Medicare Provider Contracting Regional Vice President . This role is ... This job posting encompasses two **Regional Medicare ** **Provider Contracting Senior Managers** serves as an integral member of the Network… more
- HCA Healthcare (Dulles, VA)
- …Improvement, and the Director of Case Management. Responsible for ensuring facility compliance with The Joint Commission, Centers for Medicare and Medicaid ... and the United Kingdom. We are looking for a VP Quality for our StoneSprings Hospital Center team where...coordinating HCA Capital Division quality and risk initiatives Medical Staff Services, and Patient Safety, in order to support… more
- Erickson Living (Catonsville, MD)
- …growth with an enterprise wide focus to include, medical center operations, Medicare Advantage, and healthcare strategy for Erickson Senior Living. This career ... a member of the Erickson Health Medical Group (EHMG) leadership team, the VP / Regional Medical Director actively participates in defining strategy and direction for… more
- Molina Healthcare (South Florida, FL)
- …the State Plan's Provider Network Management and Operations Department. Works with staff and senior management to develop and implement provider contracting and ... with Legal and Corporate as needed to modify templates to ensure compliance with all contractual and/or regulatory requirements. + Oversees plan-specific fee… more
- Covenant Health Inc. (Knoxville, TN)
- …issues honestly, directly, and respectfully and tell the truth. Quality + Work with the Staff , Management Team and Vice President of Patient Account Services ... Consistently share results with staff and management. Communicates activities with the Vice President of Patient Account Services and the facility CFO. +… more
- HCA Healthcare (Tallahassee, FL)
- …development for serious quality or risk issues within the division as requested by Division Vice President and Group Vice President . Accesses company ... and support to practices and Division personnel as appropriate and as directed by Division Vice President and Group Vice President . + Maintains the… more
- Covenant Health Inc. (Knoxville, TN)
- …and meets other requests of the CMG Director of Revenue Cycle and Vice - President of Financial Services. Recruiter: Kathleen Rice || ###@covhlth.com || ### ... Resolves complex issues that cannot be resolved by the staff . Supervises assigned staff on a daily...the CBO Operations Manager, Director of Revenue Cycle, and/or Vice - President of Financial Services. + Supports, models… more
- Gentiva (Johnstown, PA)
- …lasting difference in people's lives every day. **Overview** We're looking for an **Area Vice President of Operations** to join our team supporting our branches ... home health multi-site/regional executive leadership** is required The Area Vice President of Operations is responsible for...in the community. You will report directly to the VP of Operations within a specific state/region. + You'll… more
- Catholic Health Services (Roslyn, NY)
- …(CNO) - St. Francis Hospital and Heart Center St. Francis Hospital is seeking a Sr. Vice President /Chief Nursing Officer (CNO). The Senior Vice President ... changing health care requirements, legislation, trends, and community needs. Submits to the President and Sr. VP -COO projected annual goals for the department… more
- Elara Caring (Leawood, KS)
- …for changes in program and services, develops proposals for consideration by Area Vice President or other supervisors, as appropriate. + Investigates complaints ... at branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid, and third-party...correction of deficiencies, and reports results to the Area Vice President . **What is Required?** + 5+… more
- Molina Healthcare (Escondido, CA)
- …outreach and resolving provider inquiries. * In conjunction with the Associate Vice President , Network Strategy & Services, develops health plan-specific ... Molina Healthcare and contracted provider network. In partnership with Associate Vice - President , manages and coordinates the Provider Services activities for… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and communicates any new requirement concerns to ETCs Executive Director(s) and Sr. Vice President . + Collaborates with ETC and program leadership and quality ... faculty and staff to implement policies and procedures to ensure compliance with regulations. + Collaborates with clinical managers to oversee accuracy of… more
- HCA Healthcare (San Antonio, TX)
- …and document significant variances. + Evaluates and communicates recommendations to Vice President of Operations regarding appropriate space, facilities, ... to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity… more
- Integrative Emergency Services (Dallas, TX)
- Senior Vice President of Hospitalist Medicine Services DISCOVER IES Integrative Emergency Services, LLC ("IES") is seeking a Senior Vice President of ... service lines at client sites to ensure that work is in compliance with all clinical medical policies, directives, rules, regulations and clinical performance… more