- UCLA Health (Los Angeles, CA)
- Description As the Assistant Director of Medicare Advantage Audit and Fraud Compliance, you'll play a crucial role in safeguarding our health plan ... detect and address non-compliance, Fraud, Waste, and Abuse (FWA) within our Medicare Advantage and Prescription Drug programs. Leading a team of managers, you'll… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Provides ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace… more
- Brockton Hospital (Brockton, MA)
- …and resources to make a difference in the lives and health of our patients. The Assistant Director , Corporate Compliance ( Assistant Director ) is a member ... Officer (CCO) with the institutional compliance program planning and execution. The Assistant Director will utilize prior hospital operations experience in… more
- ChenMed (Detroit, MI)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical Director … more
- Cedars-Sinai (Los Angeles, CA)
- …MH services, including maintaining the network of providers for the CSMN Medicare Advantage plan(s). + Assists Contracting with identification, engagement, and ... Participates as a provider for e-consultation. + Supervises the Assistant Medical Director for Mental Health + Develops and provides in-service training… more
- UCLA Health (Los Angeles, CA)
- …at UCLA Health New Century Health Plan. Reporting to the Chief Medical Officer of Medicare Advantage , you will play a pivotal role in overseeing the development, ... A Registered Nurse License, Advanced Practice Provider (Nurse Practitioner or Physicians' Assistant ) or equivalent * Three to five years of clinical experience (RN,… more
- Martin's Point Health Care (Portland, ME)
- …most major insurance plans. Martin's Point also administers two health plans: Generations Advantage ( Medicare Advantage plans available throughout Maine and ... consideration to department priorities. This role is distinguished from the Administrative Assistant position by the focus and reporting relationship to a Vice… more