- Evolent (Phoenix, AZ)
- …the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in **Performance Suite ... risk arrangements with payers and strategic utilization management initiatives.**...Offer **clinical rationale for standard and expedited appeals,** ensuring compliance with UM policies and regulatory requirements. + Collaborate… more
- MUFG (Tempe, AZ)
- …provide more details. **Job Summary:** This position will report to the FLoD Director Third-Party Management and will be principally engaged in execution of the ... Third-Party Risk (TPRM) Management oversight of the highest risk...of the program throughout the full TPRM Lifecycle. + Compliance with applicable rules and guidance impacting the TPRM… more
- United Therapeutics (Phoenix, AZ)
- …to safety data collection, management and reporting for postmarketing ICSRs for efficiency, quality , and compliance impacts. This role is critical in ensuring ... enjoy being part of a collaborative team. The Associate Global PV Case Management Director plays a key role in management and oversight of end-to-end case safety… more
- nFocus Solutions (Phoenix, AZ)
- …platforms, partnerships, and external relationships. + Manage PCI and PII to ensure compliance and risk reduction. + Provide strategic leadership to the ... Role Summary The Director of Information Technology (IT) will lead our...leadership role encompasses team management, infrastructure oversight, data security, compliance , information assurance, and cyber protections. The role also… more
- CenterWell (Phoenix, AZ)
- …within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing efficiency and ... tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- The Cigna Group (Scottsdale, AZ)
- …to in-person meetings with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management** serves as an integral member of the ... to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance , Sales and Marketing and Service. + Manages strategic positioning… more
- Kyndryl (Phoenix, AZ)
- …will also be leading the overall client engagement and delivering high quality client work alongside senior client stakeholders. Working in a transaction environment ... negotiation on engagements, while enduring profitability and understanding and containing risk Client Engagement: + Build and maintain deep relationships with client… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …making and performance analysis + Change management and program implementation + Regulatory compliance and risk management Join our team to make a significant ... Patient Support program. This role will oversee nurse case managers, ensuring high- quality patient care and operational excellence in our support services, inclusive… more
- BMO Financial Group (Scottsdale, AZ)
- …the client to develop credibility and earn their trust. + Follows through on the risk and compliance processes and policies to ensure we safeguard our customers' ... + Produces client reports that demonstrate the value provided and assesses clients at- risk for retention. + Makes recommendations to senior leaders on strategy and… more
- Kedplasma (Phoenix, AZ)
- …at the donor. Supports optimum delivery of services as an ethical and high- quality provider of plasma. Upholds KEDRION values while leading plasma collection center ... PPTA, CLIA and COLA requirements and properly documents said compliance . + Makes sure that a Physician is present...practices are used in order not to pose a risk to self or others in the workplace. +… more
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