- Ventura County (Ventura, CA)
- …incumbent collaborates with medical directors, providers, and members to resolve service issues , ensure regulatory compliance (DMHC, NCQA, HEDIS), and support ... Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983) Apply ...An educational Incentive of 2.5% for completion of an associate 's degree, 3.5% for completion of a bachelor's degree,… more
- Santander US (Miami, FL)
- …of the following operational risk programs: Risk and Control Self-Assessment (RCSA), Issues Management , Scenario Analysis, Top Risk, Material Risk Program, Event ... management practices in the 1st line. The Sr. Associate serves as a subject matter expert by advising...Support Business Lines in risk identification (eg NPBA, change management , etc.) Ensure all issues (Self-Identified, IA,… more
- M&T Bank (Wilmington, DE)
- …and controls in accordance with the Company's Risk Appetite. Identify risk-related issues needing escalation to management + Assist Trust Administration ... and expand client relationships + Serve as a support associate to assigned Trust Officer(s) as required. + Core...accordance with the Company's Risk Appetite. + Identify risk-related issues needing escalation to management . + Promote… more
- Regions Bank (Houston, TX)
- …ad hoc management reporting, other various reports) + Monitors departmental compliance training + Monitors risk and compliance on various client transaction ... concerning staffing, performance evaluations, promotions, and terminations + Facilitates new associate onboarding and training for Wealth Management associates +… more
- Humana (Indianapolis, IN)
- …first** Humana Healthy Horizons (HHH) in Indiana is seeking a Senior Vendor Management Professional to serve as the liaison between our members and our Non-Emergent ... throughout every stage, as well as resolving urgent member issues . This position is dedicated to the Pathways program...for the position to work remotely. The Senior Vendor Management Professional's work will involve moderately complex to complex… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** Job Summary: Key Job Responsibilities The Associate Director, Human Resources is responsible for driving the business priorities in the assigned ... range of HR support for achieving business objectives, including talent management , organization development, change management , leader effectiveness, succession… more
- Highmark Health (Boston, MA)
- …significant judgement and discretion to collaborate with customers on complex issues in order to understand capability needs, gather project specifications, create ... responsible for identification, documentation, and resolution of risks, defects and issues . Analyzes market trends for competitive insight to correlate into business… more
- Intermountain Health (Montgomery, AL)
- …submission, disputes or complaints to resolution, as needed. Resolves billing/insurance issues and ensures compliance with departmental and governmental ... Supervises day-to-day operations within the assigned department. The Cash Management Credit Balance Resolution Supervisor has the responsibility for overseeing… more
- Humana (Indianapolis, IN)
- …as well as compliance guidelines. Will support achieving operational and compliance key performance indicators. In addition, the associate will participate ... in cross functional teams and support analyzing business processes, error processing, issues and ticket creations with the product management team. The Encounter… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM… more