- Sanford Health (Sioux Falls, SD)
- …is managing projects of varying scopes from start to end. Key accountabilities of Health Plan Compliance Department include: * Compliance Policies ... of Communication * Risk Assessment & Work Plans * Compliance Monitoring & Auditing * Mental Health ...dental insurance, vision insurance, life insurance, a 401(k) retirement plan , work/life balance benefits, and a generous time off… more
- Access Dubuque (Dubuque, IA)
- …timely and accurate execution of compliance requirements. + Lead and oversee all health plan compliance policies and procedures and assist in updating or ... support, create capacity plan , + Serve as a consultant to the health plan for compliance and regulatory questions and concerns. Identify when an issue… more
- Molina Healthcare (Boston, MA)
- …resolution of investigations. **Knowledge/Skills/Abilities** * Responsible for oversight and management of Health Plan Compliance Directors for all ... compliance with applicable statutes and policies. * Provides leadership to Health Plan Compliance Directors on training and education of compliance … more
- Centene Corporation (Nashville, TN)
- …issues which may negatively impact service to members. + Assist management with interim health plan compliance officer responsibilities. + Plan , direct ... audits, risk assessments and conducts related to ongoing compliance monitoring activities. + Assist health plans...to ongoing compliance monitoring activities. + Assist health plans in managing relationships with regulatory agencies and… more
- LA Care Health Plan (Los Angeles, CA)
- …Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM. Licenses/Certifications ... (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to… more
- Parkview Health (Fort Wayne, IN)
- … Health Privacy Officer. Assist in developing, maintaining and executing the Parkview Health annual compliance plan . Maintain and update as needed the ... matters requiring legal advice. Serves as a key liaison to the Parkview Health Compliance & Audit Committee. Oversees all compliance subcommittees and work… more
- WMCHealth (Poughkeepsie, NY)
- …adhere to the code of conduct as described in the Westchester Medical Center Health Network Compliance Plan and brochure. Disclaimer: The above statements ... Provider Solutions Inc. City/State: Poughkeepsie, NY Category: Executive/Management Department: Compliance - WMC Health Union: No Position: Full... plan .. + Works closely with the VP, Compliance for the Health Network on … more
- WMCHealth (Valhalla, NY)
- …adhere to the code of conduct as described in the Westchester Medical Center Health Network Compliance Plan and brochure. Disclaimer: The above statements ... Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: Compliance - WMC Health Union: No Position: Full... plan .. + Works closely with the VP, Compliance for the Health Network on … more
- Centene Corporation (Sacramento, CA)
- …PT to as late as 8:30am PT. **Position Purpose:** Perform regulatory claims compliance audits to support health plan operations. Completes retrospective ... and abuse. + Serve as a Claims regulatory resource related to the health plan operations and compliance audits. + Maintain quality and productivity standards… more
- Emory Healthcare/Emory University (Atlanta, GA)
- … PLAN OPERATIONS MANAGEMENT LEAD: + Oversee operational aspects of the health plan , ensuring efficient processes, compliance , and continuous improvement. ... with the third-party administrator (TPA) and ensuring efficient processes, compliance , and continuous improvement. + The Vice President of...to manage the budget and financial performance of the health plan , the VP Pharmacy for performance… more