- Humana (Lansing, MI)
- …relationships with corporate and market teams, including IT, Quality Operations and Compliance , and Risk Adjustment, as well as vended partners. The Senior Data ... trends, data scenarios, and opportunities for improved member health and measure compliance + Internal and external partnerships to coordinate, guide, direct and… more
- Tenet Healthcare (Detroit, MI)
- …care is the right sequence and at appropriate level of care. Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet ... per Tenet policy. Completes Final Discharge Disposition Form Assessment for Medicare patients per Tenet policy. Identifies and reports variances in appropriateness… more
- Tenet Healthcare (Detroit, MI)
- …assuring care is the right sequence and at appropriate level of care Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet ... per Tenet policy . Completes Final Discharge Disposition Form Assessment for Medicare patients per Tenet policy . Completes timely, complete and accurate… more
- Fresenius Medical Center (Romulus, MI)
- …nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal ... business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and… more
- Fresenius Medical Center (East Lansing, MI)
- …nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal ... business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and… more
- Molina Healthcare (Sterling Heights, MI)
- …and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Associate Vice President is a key ... Quality Reporting, HEDIS Performance Measurement, Clinical Quality Interventions, and QI Compliance . + Works with senior executives, Vice Presidents, and others… more
- Tenet Healthcare (Detroit, MI)
- …assuring care is the right sequence and at appropriate level of care Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet ... per Tenet policy · Completes Final Discharge Disposition Form Assessment for Medicare patients per Tenet policy · Completes timely, complete and accurate… more
- Molina Healthcare (Grand Rapids, MI)
- …submissions to NCQA and regulatory bodies, ensuring accuracy and timeliness. ** Compliance & Quality Improvement** + Monitors key performance indicators (KPIs) and ... rehearsals. + Ensures survey readiness by maintaining documentation and evidence of compliance . **Consultation & Collaboration** + Serves as a strategic advisor to… more
- Molina Healthcare (MI)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations ... satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the… more
- Humana (Lansing, MI)
- …performing application security-focused penetration tests. This role helps maintain PCI-DSS compliance and supports the team's success by: * Contributing technical ... to both technical and executive stakeholders + Knowledge of regulatory compliance frameworks, particularly PCI DSS penetration testing requirements and methodologies… more