- Banner Health (Phoenix, AZ)
- … organization or health plan setting. Must have knowledge of modern national trends in managed care quality and member safety. Must be a unique communicator and ... Our leaders are at the front of the health care transformation, planning the future of Banner Health. If...capital planning. Ensures efficient utilization of resources to maximize operating margin. 3. Establish performance goals and ensure that… more
- Texas Health Resources (Fort Worth, TX)
- The Vice President & Chief Operating Officer of Texas Health Fort Worth will report directly to the President of the hospital. The VP & COO will be ... and Culture, Information Services, Supply Chain, Legal, Community Health, Managed Care and physician leaders toward the...changes where required. . Collaborate with the President and Chief Medical Officer on the development of… more
- CVS Health (New Albany, OH)
- …heart, each and every day. **Position Summary** Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years of experience managing the ... leader will work in close partnership with the CEO, COO , CMO, CFO, Care Coordination Director and...complex behavioral health needs, multi-system experience, and understanding of managed care . + Demonstrated knowledge and understanding… more
- Care Initiatives (West Des Moines, IA)
- …Patient-Driven Payment Model (PDPM) across our skilled nursing communities. Reporting to the Chief Operating Officer , this role is responsible for ensuring ... monitor integrity of: + Overall RAI process + Medicare, Medicaid, VA and Managed Care program requirements + PDPM Management + Complete Data Analysis in quality… more
- UNC Health Care (Raleigh, NC)
- …projects in various areas such as governance, medical staff development, operations, managed care , ambulatory care , policy, finance, planning and ... administration in an integrated comprehensive regional academic and community health care delivery system. Fellows are responsible for completing administrative… more
- Sharp HealthCare (San Diego, CA)
- …who is responsible for all decisions regarding clinical appeals and grievances and the Chief Operations Officer ( COO ) who is responsible for non-clinical ... experience in claims, utilization review, appeals or member services in a managed care environment **Preferred Qualifications** + Bachelor's Degree Business… more
- UTMB Health (Galveston, TX)
- …President, Sealy Heart and Vascular Institute (SVHI) with dotted line responsibility to the Chief Operating Officer and Chief Nursing Executive of ... financial management by monthly analysis of actual versus budgeted operating margins to ensure the Sealy Heart and Vascular... care administration, principles, and practices within a managed care environment and/or an academic medical… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …implementation of innovative care models, with a strong partnership with the Chief Operations Officer ( COO ). Including: + Group visits, co-visits, ... collaboratively with the Chief Impact and Partnerships Officer (CIPO), COO , Chief Integration...Responsibilities + Collaborates with the CEO, CFO, CIPO and COO on managed care strategy,… more
- AdventHealth (Maitland, FL)
- …bring to the team:** + Collects all data necessary for Medical Staff, Malpractice and Managed Care credentialing within 30 days of signed Letter of Intent (LOI) ... Credentialing System); populate initial credentialing application for Risk and Managed Care + Provides credentialing information and...Follows chain of command in alerting Director, Vice President, COO when timelines have been missed or are in… more
- Sharp HealthCare (San Diego, CA)
- …who is responsible for all decisions regarding clinical appeals and grievances and the Chief Operations Officer ( COO ) who is responsible for non-clinical ... experience in claims, utilization review, appeals or member services in a managed care environment. **Preferred Qualifications** + Bachelor's degree in business… more