- Molina Healthcare (Ramapo, NY)
- …network development and management, or project management experience in a managed healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : ... in a managed care setting. * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare… more
- Molina Healthcare (Omaha, NE)
- …Participate in process improvement initiatives to improve operations + Understands the compliance and regulatory guidelines for each state + Maintains ... coaching, production and appropriate terminations. + Ensures staff is compliant with regulatory and company guidelines, including HIPAA compliance . + Responsible… more
- Molina Healthcare (San Diego, CA)
- …in resolving complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional ... trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- NTT DATA North America (Los Angeles, CA)
- …services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational ... apply now. We are currently seeking a **Senior Sales Executive with IT Managed Services experience in the Healthcare Provider** vertical to join our… more
- Molina Healthcare (Provo, UT)
- …in resolving complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional ... trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …an independent, the Compliance Specialist's primary function is to ensure the Managed Care business unit is meeting compliance with rules, policies, and ... in related field will be considered in lieu of degree. 5 years of Managed Care experience PREFERRED QUALIFICATIONS: The Compliance Specialist is a service… more
- NTT America, Inc. (Plano, TX)
- …services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational ... adaptable, and forward-thinking organization, apply now. We are currently seeking a ** Healthcare Sales Executive - IT Services sales for Payer Vertical** to join… more
- Centene Corporation (Jefferson City, MO)
- …ethics and compliance program, and ongoing oversight and analysis of regulatory compliance practices. + Collaborates with internal teams and external vendors ... regulations preferred. + 2+ years State Medicaid or government sponsored healthcare compliance . preferred. **Licenses/Certifications:** HealthCare … more
- Corewell Health (Grand Rapids, MI)
- …management and board governance, offering guidance and practical solutions to complex regulatory compliance challenges . As Corewell Health's Chief Privacy ... of Directors (primarily via the CRC) to effectively incorporate regulatory compliance within the culture, operations and...octorate law degree or other relevant masters/graduate degree + Healthcare Compliance , Certified (CHC) - HCCA Health… more
- Henry Ford Health System (Detroit, MI)
- …identifying risks, establishing compliance monitoring processes, and assessing regulatory compliance of HFH operations. PRINCIPLE DUTIES AND ... compliance auditing and monitoring to assess and identify compliance risks with Federal and State regulatory ... compliance audit program initiatives. + Experience conducting compliance audits of a large multi-facility healthcare … more