- Premier Health (Dayton, OH)
- DEPT: CORPORATE COMPLIANCE LOCATION: 110 N MAIN ST, DAYTON, 45402...8:00 am - 5:00 pm / DAY SHIFT The Compliance Manager (CM) assists with all hospital and PPN ... compliance , including but not limited to, policies and procedures,...of Premier workforce. CM is the coordinator of all Compliance standards for Premier Health. The CM provides leadership… more
- Premier Health (Dayton, OH)
- …Full-time/ 80 hours per pay period Facility: Premier System Support/Hybrid The Mgr -Total Rewards is a strategic and hands-on leader responsible for designing, ... retirement and compensation programs that align with organizational goals and compliance requirements. + Oversee all aspects of the company's retirement plans,… more
- Molina Healthcare (Dayton, OH)
- …including goal setting and score card development + Monitors and enforces compliance with enterprise-wide processes and develops workflows for all staff to follow ... in process improvement initiatives to improve operations + Understands the compliance and regulatory guidelines for each state + Maintains relationship with… more
- Elevance Health (Mason, OH)
- …levels, and operational and plan risk, ensures quality, and regulatory compliance .** PRIMARY DUTIES: + Coordinates Grievance and Appeals Committee Meetings and ... plan and policy changes and to ensure state and federal regulatory compliance and resolution within the regulatory timeframes. + Ensures programs support overall… more
- Elevance Health (Mason, OH)
- …out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and ... contracts. + Ensures member access to medically necessary, quality healthcare in a cost effective setting according to contract. + Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care… more