- AdventHealth (Maitland, FL)
- …coordinating depositions, and participation in any trial or hearing. . Audits existing Managed Care agreements for payer compliance with terms, timely ... This position will be responsible for execution of the managed care payor dispute resolution processes for...dispute resolution processes. The position reports to the Executive Director of Reimbursement and Compliance . Experience in… more
- UCLA Health (Los Angeles, CA)
- …a liaison with the Lead Actuary, Director of Compliance , Director of Managed Care and Director of Medicare Advantage Operations regarding ... for but not limited to Centers for Medicare and Medicaid Services, Department of Managed Health Care , Internal Revenue Service and Franchise Tax Board + Leading… more
- S&P Global (New York, NY)
- …Team:** This is a commercial position within S&P Global Market Intelligence, Regulatory Compliance Division. This position will report into the of Commercial Head ... Managed Services but work closely with the Sales, Operations,...the Sales, Operations, Technology / Product team across Regulatory Compliance . **Responsibilities and Impact:** Our comprehensive services bring greater… more
- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment. The successful candidate will...issues + Oversee contract management and reporting + Ensure compliance with price transparency regulations + Support the revenue… more
- Guidehouse (Mclean, VA)
- **Job Family** **:** Finance Compliance Advisor **Travel Required** **:** Up to 10% **Clearance Required** **:** None **What You Will Do** **:** + Manage active ... / new clients to increase the scope of Guidehouse Managed Services' work. + Monitor and oversee a number...Bachelor's degree. + Minimum 10 years of prior AML Compliance experience managing different types of operational compliance… more
- Lutheran (West Seneca, NY)
- Medicaid Managed Care Liaison Regular Full-Time West Seneca, NY, US Requisition ID: 1132 Apply GA Family Services is seeking a Medicaid Managed Care ... care . This role coordinates with the Medicaid managed care plans as the liaison for...when appropriate in medical in-service training programs + Demonstrates compliance with all federal and state laws and regulations… more
- LA Care Health Plan (Los Angeles, CA)
- …Compliance Department, leading compliance efforts across all functions across LA Care . The Senior Director manages the following compliance and ... and issue escalation. The Senior Director develops and recommends strategic compliance initiatives for LA Care , accountable to continuously streamline and… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Director , Third Party Compliance Oversight reports directly to the SVP, Corporate Compliance & Ethics and ... Risk Operations, and leads the Third-Party Compliance Oversight department for Commonwealth Care Alliance...Strong acumen and understanding of healthcare, health insurance and managed health care industries and organizations required.… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Director , Care Management Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... to support the safety net required to achieve that purpose. Job Summary The Senior Director , Care Management (CM) is responsible for the setting and carrying out… more
- Nuvance Health (Norwalk, CT)
- …D: Fulfills all compliance responsibilities related to the position 3. Director Care Coordination- Major Responsibilities Criteria A: Performs other duties ... goals in accordance with all State and Federal Guidelines. Responsibilities: 1. Director Care Coordination- Major Responsibilities Criteria A: Provides direct… more
- Ophthalmic Consultants of Boston (Waltham, MA)
- Ophthalmic Consultants of Boston (OCB) is currently seeking a Director of Compliance . This role will report to the Vice President of Operations and have a ... working relationship with the OCB Co-Presidents/Medical Director and the MD Compliance ...compliance , risk and/or regulatory programs in a health care setting, progressive experience in out-patient coding and billing… more
- CareOregon (Portland, OR)
- …4 years' experience in a supervisory position + Leadership experience in a managed care organization Knowledge, Skills and Abilities Required Knowledge + ... Job Title Director , Compliance Exemption Status Exempt Management...Knowledge of managed healthcare operations...technologies + Knowledge of the Patient Protection and Affordable Care Act + Knowledge of OAR's and their purpose… more
- University of Colorado (Aurora, CO)
- Primary Care Director / Family (or Adult Gerontology) Nurse Practitioner - 32571 Faculty **Description** **University of Colorado Anschutz Medical Campus** ... **College of Nursing** **Job Title:** **Primary Care Director / Family (or Adult Gerontology)...clinicians to ensure high quality, productive medical and nursing care . SHS is a multi-site, nurse- managed FQHC,… more
- AdventHealth (Orlando, FL)
- …Understanding of CMS Conditions of Participation for Discharge Planning Understanding of Managed Care and Value Based Programs Ability to work autonomously ... 125,000 outpatients each year **The role you'll contribute:** The Care Management Facility Director has full accountability... Care Management department, including all aspects of care coordination, care transition and compliance… more
- City of Detroit (Detroit, MI)
- Animal Care and Control Director Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4312575) Apply Animal Care and Control Director ... General + Description + Benefits + Questions Description The Director of Detroit Animal Care and Control...and shelter services are well-coordinated, effective, efficient, and in compliance with City of Detroit, State, and Federal regulations,… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …research areas centered around rare diseases and immune disorders. **Summary** The Associate Director , Privacy & Compliance Investigations, is a member of the ... customers within pharmaceutical industry (eg, IT, Medical Affairs, Sales/Marketing, Managed Markets, Pharmacovigilance, Supply Chain, Compliance , Quality… more
- Athena Health Care Systems (East Providence, RI)
- …We are hiring a Director of Rehabilitation (Therapy) to join our dynamic care team at Orchard View Manor in East Providence! Working with our team and residents ... Director of Therapy Full-Time Orchard View Manor -...+ Strong organizational and analytical skills. About Athena Health Care Systems: Orchard View Manor is managed … more
- University of Colorado (Aurora, CO)
- …Ability to be fully credentialed with the UCH system and UPI Managed Care . **Assistant Professor Minimum Qualifications** + **Education:** Terminal degree ... Director regularly. + Collaborates with the UCHealth Senior Director of Primary Care Operations and Women's...be fully credentialed with the UCH system and UPI Managed Care . **Associate Professor Minimum Qualifications** +… more
- Athena Health Care Systems (Haverhill, MA)
- …records in compliance with local, state, and federal laws. About Athena Health Care Systems: Hospice Services of Massachusetts is managed by Athena Health ... Hospice Clinical Director Full-Time Hospice Services of Massachusetts - Haverhill...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Providence (Portland, OR)
- …integration team, and the crisis team in the emergency department. The BH Director is responsible for operational optimization, budget compliance and working ... recommendations for budgetary increases/reductions to manage changing climate of mental health care directly to the Senior Director of behavioral health.… more