- LA Care Health Plan (Los Angeles, CA)
- Senior Director and Grievance Officer, Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... the safety net required to achieve that purpose. Job Summary The Senior Director and Grievance Officer, Appeals and Grievances (A&G), is responsible for leadership,… more
- Daybreak Independent Services (Bronx, NY)
- Director of Quality Assurance and Compliance About Daybreak Independent Services, Inc. In 2010, Daybreak Independent Services opened its doors for individuals with ... look forward to what lies ahead. Website : https://www.daybreakis.org Job Title: Director of Quality Assurance and Compliance Reports To: CEO/Chief Operating Officer… more
- MD Anderson Cancer Center (Houston, TX)
- …professionals, employees and the public. The primary purpose of the Executive Director , Compliance Programs and Quality Assurance (CPQA), is to provide the strategic ... based on legal and regulatory guidance, UT System guidance, and emerging trends in compliance enforcement. With respect to the quality assurance responsibilities,… more
- WMCHealth (Valhalla, NY)
- Network Director , Compliance- Billing Integrity Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: ... Internal Applicant link Job Details: Job Summary: The Network Director , Compliance- Billing Integrity is responsible for the strategic design,… more
- LA Care Health Plan (Los Angeles, CA)
- …payment outcomes. Advises leadership and internal partners on payment accuracy trends , root-cause drivers, provider impact, and mitigation strategies. Builds ... Director , Payment Integrity Job Category: Management/Executive Department: Claims...Integrity processes meet all regulatory and contractual requirements across Medicaid , Medicare, Commercial, and Exchange lines of business. Leads… more
- BeOne Medicines (San Mateo, CA)
- …on net revenues, facilitating effective execution and decision-making. Additionally, the Director will analyze market trends , assess payer landscapes, and ... **General** **Description:** The Director of Market Access Channel & GTN Strategy...Medicaid Best Price, ASP-based reimbursement shifts) and develop mitigation strategies as needed. + Support cross-functional launch readiness… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Director , Core Administrative Operations Job Category: Management/Executive Department: Managed Care Services Location: Los Angeles, CA, US, 90017 Position ... the safety net required to achieve that purpose. Job Summary The Senior Director , Core Administrative Operations is responsible for leading and optimizing LA Care's… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Director , Data Engineering Designs, builds, and maintains data processing architectures and solutions ... structured and unstructured data to insights at enterprise scale. The Director , Data Engineering requires an in-depth understanding of how organization capabilities… more
- Covenant Health Inc. (Knoxville, TN)
- …leaders to improve revenue cycle outcomes. + Communicates shifts in healthcare trends , develops strategic mitigation plans and coordinates with other functional ... Overview Corporate Director , Patient Access, Centralized Scheduling Full Time, 80...to stay abreast of the latest developments, advancements and trends in Revenue Cycle and Patient Access. + Coordinates… more
- Texas Health Resources (Arlington, TX)
- …practices with regulatory guidance and industry standards. Risk Identification & Mitigation - Identify compliance risks, report findings, and recommend corrective ... organization remains compliant and proactive. Strategic Planning Assistance - Support the Director in developing the annual work plan to strengthen compliance and… more
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