- Humana (Phoenix, AZ)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Phoenix, AZ)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Molina Healthcare (Scottsdale, AZ)
- …BH peer reviews and appeals * Supports BH committees for quality compliance . * Implements clinical practice guidelines and medical necessity review criteria * ... Tracks all clinical programs for BH quality compliance with NCQA and CMS * Assists with the...EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in… more
- MUFG (Tempe, AZ)
- …process documentation for GFCD IM Reporting & Analysis Team processes. + Support the Director , GFCD and Americas Compliance Issues Management and the Director ... VP and the team in leading the coordination and delivery of financial crimes compliance issues program in accordance with the Global Financial Crimes Compliance … more
- MUFG (Tempe, AZ)
- …matter expertise regarding Issues Management policy, standard, and procedures. + Support the Director , GFCD and Americas Compliance Issues Management and the ... President (AVP) role in the Global Financial Crimes Division ("GFCD") and Americas Compliance function of MUFG Bank, Ltd. will report to the Vice President, Americas… more
- American Express (Phoenix, AZ)
- … requirements + Experience supporting internal or external audits, familiarity with compliance functions such as AML, Financial Crimes, Sanctions Screening, KYC, ... Senior Manager of Exam & Audit Management, you will partner with the Director to lead enterprise-wide efforts that mitigate operational risk and elevate quality… more
- MUFG (Tempe, AZ)
- …of the Bank's governance, risk management and control processes. It reports to a Director . This role includes, but is not limited to, execution of end-to-end audit ... organization. **_Management or Supervision:_** No **_Major Responsibilities:_** + Maintain compliance with audit methodology, while also operating within industry… more