- Fallon Health (Worcester, MA)
- … manager to organize and manage projects related to regulatory , compliance, or accreditation requirements including obtaining and presenting appropriate data. ... & Human Services), regulatory standards and federal and state contracts regarding ACO clinical services and programs offered by the health plan. + Manages the … more
- Trinity Health (Clive, IA)
- …Services Organization's (PHSO) Operations Team, the Rural Population Health Project Manager is dedicated to supporting rural affiliates and partners to succeed ... stakeholders, including regularly providing data and critical information. The Project Manager is also responsible for managing the relationships between rural… more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... enables our customers to react swiftly to the latest regulatory shifts and competitive pressures. It opens the door...**: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum technology company including… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System (AHSIC) is seeking a Full-Time Account Liaison Manager . Required hours are 8:00AM - 4:30PM; No weekends/No On-Call. ESSENTIAL FUNCTIONS: + ... in their overall operational processes + Responsible to be the main account manager between AHSIC, AHS/MSO departments and the care centers + Ensure compliance with… more
- Hartford HealthCare (Wethersfield, CT)
- …ECF's, ALF's, and community agencies * Conducts Physician education regarding regulatory and compliance requirements * Conducts competitor analysis at regular ... intervals and identifies emerging trends * Expert in the ACO arena an able to form collaborative relationships * Ability to organize community outreach and physician… more
- Baystate Health (Springfield, MA)
- …and benefits, as well as all applicable regulatory guidelines. + Refer to RN ACO Manager for more complex cases as appropriate or when question of potential ... of others. Key Responsibilities: *Under the direction of the RN ACO Manager + Interact with treatment providers, PCPs, physicians, therapists, and facilities… more
- Idaho Division of Human Resources (Lewiston, ID)
- …may increase your score. + An accredited USDA/APHIS/PPQ Authorized Certification Official ( ACO ). + Experience in plant protection regulatory activities. + ... project reports and investigation reports for submission and approval to Program Manager , Bureau Chief, or Division Administrator as necessary. + Enforce state laws… more
- HCA Healthcare (Fort Lauderdale, FL)
- …Care Coordinator directs, plans, and supports PSG practices in successfully meeting CMS, ACO and payor care coordination and quality initiatives. We are an amazing ... we do. **Job Summary and Qualifications** + Maintains knowledge of payor and regulatory requirements with the ability to work effectively under pressure + Attends… more
- Elevance Health (Columbus, OH)
- …of this role is developing the network and ensuring state and federal regulatory requirements are met by the constructed network. Works collaboratively with local ... 8 years' experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing, health plan network implementations;… more