- CenterWell (Daytona Beach, FL)
- …financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical initiatives ... initiatives and foster stakeholder relationships, including health plan partners, healthcare providers (eg specialists, hospitals) and social services, to improve… more
- Access Dubuque (Dubuque, IA)
- …risk financing strategies, optimizing stop-loss arrangements, and ensuring compliance with regulatory and operational standards. **Key Responsibilities:** + ... stop-loss captives for self-funded employee health plans. + Conduct financial modeling and risk analysis to evaluate the potential cost savings and risk … more
- CenterWell (Jacksonville, FL)
- …financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical initiatives ... initiatives and foster stakeholder relationships, including health plan partners, healthcare providers (eg specialists, hospitals) and social services, to improve… more
- State of Colorado (Chaffee County, CO)
- …will create, implement and maintain safety program practices that assure compliance with American Correctional Association Standards, as well as compliance ... requests for equipment and supplies essential to the safety program; + Monitors compliance with American Correctional Association Standards as well as compliance … more
- Ochsner Health (Breaux Bridge, LA)
- …risk for exposure for communicable diseases Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous ... and for solving day to day lab operational problems and notifying Lab Manager /Physician Supervisor of problems as appropriate. This job maintains a patient /client… more
- City of New York (New York, NY)
- …key stakeholder groups for reviewing and implementing data governance policy by type, eg, risk and compliance team for data privacy policy; IT stakeholders for ... to strengthen citywide population health surveillance by better linking public health, healthcare , and social service data to fully characterize and improve the… more
- Evolent (Boise, ID)
- …the manage and report risk , issues, and decisions with the lead / manager + Responsible to attend and if required, lead test team meetings for technical testing ... Job Description **Analyst, Integration Quality** Integration testing in the healthcare ecosystem requires complete end to end testing in...The IQA reports to a associate director or a manager . One or many IQAs may be engaged in… more
- LA Care Health Plan (Los Angeles, CA)
- …clinical skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating ... and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit: Serves as clinical advocate for… more
- Henry Ford Health System (Detroit, MI)
- …best practices, regulatory compliance requirements (eg, HIPAA, HITECH), and risk management in healthcare settings. + Strong experience in implementing ... information technology systems, networks, applications, and data within our healthcare institution. This position provides expert guidance on strategic and… more
- University of Colorado (Aurora, CO)
- …**Job Summary:** Key Responsibilities: **Project Management, Process Improvement & Regulatory Compliance - 20%** + Analyze the performance and health of the ... managing issues to resolution and in conformance with quality metrics and compliance requirements. + Manage traceability and status requirements in accordance with… more