• Director, Medicare Segment Optimization

    Molina Healthcare (Houston, TX)
    …and in compliance with all relevant federal, state, and local regulatory requirements. **Job Duties** + Enable market P&L success through support and oversight ... Monitor and support sales and retention efforts. + Monitor compliance and regulatory risks. + Contribute to...between segment and markets to drive performance in network, risk adjustment, and stars; single point of contact for… more
    Molina Healthcare (09/07/25)
    - Related Jobs
  • Neonatal ICU Director Level III

    HCA Healthcare (Austin, TX)
    …pursues efforts to achieve. + You will stay abreast of legal and regulatory standards and ensures compliance . Develop and implement policies, procedures, and ... practices in compliance with all legal/ regulatory standards. + You...Development Maternal-Fetal Medicine Units Network, TexasAIM and features a high- risk pregnancy navigation and support program. HCA Healthcare more
    HCA Healthcare (07/09/25)
    - Related Jobs
  • Neonatal Intensive Care Unit Manager NICU

    HCA Healthcare (Austin, TX)
    …of internal/external benchmarks, accreditations, and designations. + You will ensure compliance with all policies, procedures, and regulatory standards. + ... Child Health Development Maternal-Fetal Medicine Units Network, TexasAIM and features a high- risk pregnancy navigation and support program. HCA Healthcare has… more
    HCA Healthcare (06/21/25)
    - Related Jobs
  • Registered Nurse Case Management PRN

    HCA Healthcare (Conroe, TX)
    …through the established chain of command. ​ + Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives. ... an exciting opportunity for you to join HCA Houston Healthcare Conroe which is part of the nation's leading...patients as assigned. + Identifies patients who are at risk for adverse outcomes during the transition from one… more
    HCA Healthcare (07/30/25)
    - Related Jobs
  • AVP, Encounters

    Molina Healthcare (Fort Worth, TX)
    …lines of business. This role has decision-making accountability for ensuring compliance with complex regulatory requirements, protecting the integrity of ... as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational...costs for all lines of business and directly impacting Risk Revenue and Quality Compliance . Partner with… more
    Molina Healthcare (08/22/25)
    - Related Jobs
  • Healthcare Principal

    Arup (Houston, TX)
    …standards. + Manage financial performance, implement risk controls, and ensure compliance with technical and regulatory requirements. + Supervise and mentor ... opportunity** + Lead multidisciplinary teams in the design and execution of healthcare projects, ensuring alignment with client goals, regulatory standards, and… more
    Arup (07/25/25)
    - Related Jobs
  • Registered Nurse Sepsis Coordinator

    HCA Healthcare (Live Oak, TX)
    …Minimum three years of clinical experience. 4. Prefer: Quality Management, regulatory compliance , TQM/CQI training and experience. 5. Mandatory: Experience ... Northeast our nurses set us apart from any other healthcare provider. We are seeking a Registered Nurse Quality...event investigations & root cause analysis activities to reduce risk & increase patient safety 4. Coordinate the review… more
    HCA Healthcare (09/01/25)
    - Related Jobs
  • Registered Nurse Case Manager

    HCA Healthcare (Dallas, TX)
    …patient assistance programs, and community-based resources + Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality ... is a part of the nation's leading provider of healthcare services, HCA Healthcare . Do you want...clinical condition as indicated. Considers patient's readmission status or risk of readmission and develops strategies to mitigate including… more
    HCA Healthcare (08/08/25)
    - Related Jobs
  • Vice President Quality

    HCA Healthcare (Houston, TX)
    …in a healthcare setting required + 4+ years experience in healthcare quality/ risk management with demonstrated leadership required + Currently licensed as ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...improvement to drive care excellence and oversees the hospital regulatory and accreditation program. ​ **What you will do… more
    HCA Healthcare (07/18/25)
    - Related Jobs
  • Director, Operational Oversight (Medicare/Duals)…

    Molina Healthcare (Fort Worth, TX)
    …responses for CMS audits and data-validation reviews * Ability to quantify financial, regulatory , and member-experience risk from complaint trends and to drive ... **Job** ** ** **Summary** Safeguard member trust and plan compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM… more
    Molina Healthcare (07/13/25)
    - Related Jobs