- Capgemini (Chicago, IL)
- …gap analysis and recommend process improvements leveraging PEGA capabilities + Ensure compliance with regulatory and clientspecific standards in claims handling ... **Job Summary** We are seeking a highly skilled and experienced Senior Consultant to lead and support initiatives in Claims Assessment and PEGAbased solutions… more
- ChenMed (Berwyn, IL)
- …The PCP will adhere to strict departmental goals/objectives, standards of performance, regulatory compliance , quality patient care compliance , and policies ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and… more
- The Joint Commission (Oakbrook Terrace, IL)
- …down stairways (eg, to test escape routes, assess safety of emergency exits, regulatory compliance , etc.); + removing obstructed covers or impediments to ... inductive reasoning skills to determine health care organizations' degree of compliance with applicable standards and functionality of care delivery systems. Engages… more
- ChenMed (Berwyn, IL)
- …The PCP will adhere to strict departmental goals/objectives, standards of performance, regulatory compliance , quality patient care compliance , and policies ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and… more
- AdventHealth (Bolingbrook, IL)
- …* Ensure compliance with infection control protocols, safety standards, and regulatory requirements to maintain a safe healthcare environment. * Provide ... conditions, treatments, medications, and self-care strategies to promote understanding and compliance . * Collaborate with medical staff and ancillary departments to… more
- AdventHealth (Glendale Heights, IL)
- …* Ensure compliance with infection control protocols, safety standards, and regulatory requirements to maintain a safe healthcare environment. * Provide ... conditions, treatments, medications, and self-care strategies to promote understanding and compliance . * Collaborate with medical staff and ancillary departments to… more
- Intermountain Health (Springfield, IL)
- …integrity and relevance of contractual agreements between physicians and Intermountain Healthcare . The Contract Manager collaborates with the PCS Director and other ... into procedures, templates, and routine communication tools; investigating potential compliance or operational concerns with appropriate documentation and resolution;… more
- CVS Health (Springfield, IL)
- …using clinical tools and information/data. + Utilizes case management processes in compliance with regulatory and company policies and procedures. + Facilitates ... country. **Summary/Mission** Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting… more
- CVS Health (Springfield, IL)
- …using clinical tools and information/data. * Utilizes case management processes in compliance with regulatory and company policies and procedures. * Facilitates ... **Family Summary/Mission** Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting… more
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