• Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …to providing patients with a full range of services to meet their healthcare needs. We provide our services in a caring, professional environment through the ... staff and employees. Rutherford Regional Health System's partnership with Duke LifePoint Healthcare is bringing the pieces together to transform healthcare in… more
    LifePoint Health (08/09/25)
    - Related Jobs
  • Director of Medical Staff Services, Days, Medical…

    Howard University Hospital (Washington, DC)
    …maintain a comprehensive credentialing database and prepares reports and summaries. Oversees regulatory compliance for all Medical Staff aspects of TJC, NCQA, ... Medical Staff Rules and Regulations and Credentials Manuals while ensuring regulatory compliance . Provides delegated credentialing services for the Adventist… more
    Howard University Hospital (09/13/25)
    - Related Jobs
  • Value Assessment Liaison - Vaccine

    Sanofi Group (Morristown, NJ)
    …in and/or knowledge of US healthcare system and economics, managed care, vaccines and/or pharmaceuticals, regulatory and payer environment, population ... + Maintain compliance with all applicable Sanofi policies and procedures, regulatory and legal requirements, and help to monitor compliance during… more
    Sanofi Group (08/28/25)
    - Related Jobs
  • Director - Professional Billing Organization…

    Stanford Health Care (Palo Alto, CA)
    …is responsible for enhancing and maintaining cash flow, revenue cycle performance, regulatory and HIPAA compliance , and guest relations. **Locations** Stanford ... Ensures compliance with relevant regulations, standards and directives from regulatory agencies and third- party payers. + Maintains and fosters excellent payer… more
    Stanford Health Care (09/05/25)
    - Related Jobs
  • Director of Audit- Cyber

    City National Bank (Raleigh, NC)
    …to IT service management and IT risk management. CNB's IT and business managed platform technology teams, inclusive of CNB's subsidiaries and managed affiliates. ... (eg FRBNY, OCC) and to meet the evolving demands of the US regulatory environment and heightened expectations of internal audit. This includes the coordination of… more
    City National Bank (08/07/25)
    - Related Jobs
  • Medical Director - Southeast Region

    Humana (St. Paul, MN)
    …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
    Humana (09/10/25)
    - Related Jobs
  • Quality Improvement Specialist

    Banner Health (Glendale, AZ)
    …resulting from patient safety, harm reduction, clinical performance, peer review and compliance with regulatory and accrediting agencies. This is accomplished by ... to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of… more
    Banner Health (09/11/25)
    - Related Jobs
  • Healthy Connections Director of Care Management

    Intermountain Health (Murray, UT)
    …community resources to enhance the overall patient + experience. + Ensures compliance with regulatory agencies regarding discharge planning, conditions of ... members as they cross the full continuum of their healthcare journey. + Oversees program components related to care...managed care environment and have familiarity with the regulatory environment pertinent to the Line of Business (LOB)… more
    Intermountain Health (09/03/25)
    - Related Jobs
  • Interim MSO CEO

    HealthTrust Workforce Solutions (Campbell, CA)
    …that appropriate measures are taken to correct unsatisfactory results. 14. Ensures compliance of managed care operations with all laws, regulations, rulings, ... **_Interim Leader_** At HealthTrust, we believe that healthcare isn't defined by the four walls in...delivery options; thinks in terms of networking; can anticipate regulatory changes that may impact managed care.… more
    HealthTrust Workforce Solutions (08/14/25)
    - Related Jobs
  • Program Associate

    New York University (New York, NY)
    …Strong knowledge of recovery principles, evidence-based practices, instructional design, and regulatory compliance . + Interest in behavioral health and ... a talented and motivated individual to serve as a program associate for our Managed Care Technical Assistance Center (MCTAC) and Healthcare Innovation team. This… more
    New York University (08/07/25)
    - Related Jobs