- Molina Healthcare (ID)
- **Job Description** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and ... the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. **Knowledge/Skills/Abilities**… more
- Sharp HealthCare (San Diego, CA)
- …Certified Professional in Healthcare Quality (CPHQ) - National Association for Healthcare Quality; Certified Case Manager (CCM) - Commission for Case ... and HS leadership team to ensure regulatory and legislative compliance for the division. Under the direction of the... Healthcare Quality (CPHQ) - National Association for Healthcare Quality -PREFERRED + Certified Case Manager … more
- GE HealthCare (WA)
- **Job Description Summary** Remote role within the Seattle, WA area, and local candidates preferred. Diagnostic Imaging Field Engineer and Leadership Experience. ... Service Excellence per contract. May perform some technical service work. GE HealthCare is a leading global medical technology and digital solutions innovator. Our… more
- Sharp HealthCare (San Diego, CA)
- …California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; Bachelor's Degree in ... as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations...or equivalent degree. + Master's Degree + Certified Case Manager (CCM) - Commission for Case Manager … more
- Molina Healthcare (Twin Falls, ID)
- …to adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in ... compliance with all relevant federal, state and local regulations....knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts including but… more
- Molina Healthcare (Bellevue, WA)
- …to adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in ... compliance with all relevant federal, state and local regulations....based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA… more
- CVS Health (Phoenix, AZ)
- …it all with heart, each and every day. **Position Summary** As the Senior Manager , Business Compliance , you will be responsible for managing the regulatory and ... + Minimum 7-10 years of prior relevant work experience in compliance or regulatory position + Healthcare industry knowledge and experience + Must work west coast… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... and make decisions as needed while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables… more
- AssistRx (Orlando, FL)
- The Project Manager will be a member of the PMO Team, reporting to the Director of Program Management. The PMO Team leads client software implementation projects and ... team to identify opportunities and develop solutions. The Project Manager is a critical role within the organization, and...successful completion of a pre-employment background check. + In compliance with federal law, all persons hired will be… more
- Molina Healthcare (Omaha, NE)
- …including goal setting and score card development + Monitors and enforces compliance with enterprise-wide processes and develops workflows for all staff to follow ... in process improvement initiatives to improve operations + Understands the compliance and regulatory guidelines for each state + Maintains relationship with… more