- Molina Healthcare (Chandler, AZ)
- **Job Description** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws ... the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. **Knowledge/Skills/Abilities**… more
- Molina Healthcare (Scottsdale, AZ)
- …direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Program Director is ... Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of… more
- Evolent (Phoenix, AZ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Sr Director of Product Management - AI & Healthcare Innovation** Evolent is seeking ... a strategic and experienced Sr ** Director of Product Management** to lead the vision, planning,...to lead the vision, planning, and execution of cutting-edge healthcare AI solutions. This leader will own the end-to-end… more
- Molina Healthcare (Tucson, AZ)
- …work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/ program management, rather ... of knowledge although they may have technical team members. Senior Program Management professional. Responsible for overall governance across all operational and… more
- The Cigna Group (Scottsdale, AZ)
- **Position Summary** The Supplemental Health National Sales Director (NSD) will be responsible for driving new business sales for Supplemental Health products in ... The NSD partners with internal colleagues in distribution, marketing, product, compliance , underwriting, and other areas to deliver compelling and valuable solutions… more
- Molina Healthcare (Chandler, AZ)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition is responsible for the implementation, monitoring, and oversight of all chart collection ... requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops and… more
- CVS Health (Phoenix, AZ)
- …we do it all with heart, each and every day. **A Brief Overview** The Lead Director , Provider Data Compliance is responsible for overseeing the compliance of ... cross-functional initiatives to support audit readiness and collaborates with Compliance , Legal, Medicaid Health Plans, Network Contracting, and Provider Relations… more
- Molina Healthcare (Scottsdale, AZ)
- **Job** ** ** **Summary** Safeguard member trust and plan compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of ... the correct business owner on first touch. 2. Resolution Quality & Compliance Mastery * Track record coordinating cross-functional action plans with Enrollment,… more
- Kyndryl (Phoenix, AZ)
- …transforming Contact Center operations for enterprise organizations, particularly those in the Healthcare or State or Local Government and / or Educational (SLED) ... communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is a strong plus, especially in payer/provider… more
- Molina Healthcare (Phoenix, AZ)
- …and provide analyses for proposed changes to Medicare, and other government-sponsored healthcare program contracts, governing regulations and new legislation and ... support to advance the goals and objectives of the Integrated Duals program . Supports integrated duals product development in collaboration with enterprise and… more