- Cedars-Sinai (Beverly Hills, CA)
- …metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and presentations to… more
- UCLA Health (Los Angeles, CA)
- …manage multiple priorities and deadlines independently. + Experience coordinating audits, regulatory compliance , and internal performance improvement efforts. + ... Description UCLA Health is seeking a dynamic Program Manager to support the Managed Care Operations team. This role is instrumental in overseeing the execution of… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director, Managed Care Payer Contracting (V&A) Date: Jul 3, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61853 ... difference, and new people to make a difference with. **The opportunity** The Director, Managed Care Payer Contracting is a key leadership role within Value & Access… more
- Adelante (Phoenix, AZ)
- Regulatory Compliance Manager - Phoenix, AZ Job...Quality, Compliance , or related field in the healthcare industry + Experience in managed care with ... Level Bachelor's degree Job Category Health Care Description POSITION SUMMARY The Regulatory Compliance Manager will monitor and maintain compliance … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …- 5+ years of experience with a degree, or 9+ years of experience in healthcare compliance , accreditation readiness, or regulatory affairs within a hospital ... or related field required + Experience - 10+ years of experience in healthcare compliance , accreditation readiness, or regulatory affairs within a… more
- Molina Healthcare (Sparks, NV)
- …Public Health, Social Work, or related field. **Required Experience** + 5+ years of managed healthcare experience, including 3 or more years in one or more ... **Preferred Experience** + 3+ years supervisory/management experience in a managed healthcare environment. + Medicaid/Medicare Population experience with… more
- Trinity Health (Columbus, OH)
- …systems to evaluate compliance and assure continuous accreditation and regulatory compliance . Scope includes Mount Carmel owned and affiliated entities ... surveys by regulatory agencies. + Assists in evaluation of regulatory compliance and operations from a process perspective across departments… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- **Overview** **Scope of Responsibilities:** Responsible for all regulatory , compliance , and accreditation matters within HealthDirect. Oversees the development, ... + Partners with internal and external legal resources as needed to resolve compliance issues. + Keeps apprised of new regulatory developments by reviewing… more
- Centene Corporation (Olympia, WA)
- …+ Oversee, administer, and implement various aspects of the Medicaid Regulatory Operations/ Compliance program, including communication to/from the Medicaid ... Request for Information/Response + Provide guidance to various departments regarding regulatory issues and ensure implementation of new compliance requirements… more
- Molina Healthcare (San Francisco, CA)
- **JOB DESCRIPTION** **Job Summary** Responsible for internal business regulatory projects and State programs involving department or cross-functional teams of ... delivering products through the design process to completion and for meeting compliance . Plans and directs schedules as well as project budgets. Monitors the… more
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