- Molina Healthcare (Racine, WI)
- …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
- Molina Healthcare (Madison, WI)
- …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 (Milwaukee, WI)
- …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
- Molina Healthcare (WI)
- …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 (Madison, WI)
- …performance, data integrity, and security through rigorous governance and proactive compliance practices. + Build a best-in-class HR data and analytic platforms ... build stakeholder alignment, and drive innovation. + Familiarity with compliance standards, HR data governance, and system audit-readiness. **Preferred… more
- Molina Healthcare (Kenosha, WI)
- …functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide ... management, care management, member assessment, and/or other teams - monitoring for compliance with National Committee for Quality Assurance (NCQA), Centers for … more
- Marshfield Clinic (Beaver Dam, WI)
- …coordination, provision and supervision of care and services and regulatory compliance . By maintaining expert knowledge of regulations and applying this knowledge ... the OASIS instrument has on quality and financial outcomes, as well as compliance . This position works both independently and interdependently, and is skilled in… more
- Marshfield Clinic (Beaver Dam, WI)
- …all resident care and business decisions. Ensure the facilities operate in compliance with all local, state, and federal regulations. Interacts with residents, ... FUNCTIONS** 1. Development of a qualified team to ensure compliance with Federal and State Codes. 2. Provides direct...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
- Gentiva (Milwaukee, WI)
- …+ Direct the day-to-day operations of the home health branch, ensuring compliance with all applicable federal, state, and accreditation standards (CMS, Medicare ... role. + Strong knowledge of CMS regulations and home health compliance requirements. + Proven leadership, communication, and problem-solving skills. **Preferred… more
- Cardinal Health (Madison, WI)
- …initiatives to optimize cash flow, reduce aging accounts, and ensure compliance with payer and regulatory requirements. **Responsibilities:** + Lead and manage ... for complex or high-dollar claims. + Stay current with payer policy changes, compliance regulations, and industry best practices. + Analyze trends in denials and… more