- Sanford Health (Sioux Falls, SD)
- …is managing projects of varying scopes from start to end. Key accountabilities of Health Plan Compliance Department include: * Compliance Policies ... of Communication * Risk Assessment & Work Plans * Compliance Monitoring & Auditing * Mental Health ...dental insurance, vision insurance, life insurance, a 401(k) retirement plan , work/life balance benefits, and a generous time off… more
- Molina Healthcare (Boston, MA)
- …resolution of investigations. **Knowledge/Skills/Abilities** * Responsible for oversight and management of Health Plan Compliance Directors for all ... compliance with applicable statutes and policies. * Provides leadership to Health Plan Compliance Directors on training and education of compliance … more
- Centene Corporation (Raleigh, NC)
- …issues which may negatively impact service to members + Assist management with interim health plan compliance officer responsibilities + Plan , direct ... audits, risk assessments and conducts related to ongoing compliance monitoring activities + Assist health plans...to ongoing compliance monitoring activities + Assist health plans in managing relationships with regulatory agencies and… more
- Centene Corporation (Austin, TX)
- …Performs interim Duals Compliance manager responsibilities to include supporting the health plan compliance officer with D-SNP specific responsibilities. ... one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national… more
- Molina Healthcare (Lincoln, NE)
- …This position is supporting compliance operations for Molina's Texas Health Plan . **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is ... for all Molina product lines enterprise wide. It is a centralized corporate function supporting compliance activities at individual state health plans.… more
- LA Care Health Plan (Los Angeles, CA)
- …Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM. Licenses/Certifications ... (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to… more
- Parkview Health (Fort Wayne, IN)
- … Health Privacy Officer. Assist in developing, maintaining and executing the Parkview Health annual compliance plan . Maintain and update as needed the ... matters requiring legal advice. Serves as a key liaison to the Parkview Health Compliance & Audit Committee. Oversees all compliance subcommittees and work… more
- WMCHealth (Poughkeepsie, NY)
- …adhere to the code of conduct as described in the Westchester Medical Center Health Network Compliance Plan and brochure. Disclaimer: The above statements ... Provider Solutions Inc. City/State: Poughkeepsie, NY Category: Executive/Management Department: Compliance - WMC Health Union: No Position: Full... plan .. + Works closely with the VP, Compliance for the Health Network on … more
- Emory Healthcare/Emory University (Atlanta, GA)
- … PLAN OPERATIONS MANAGEMENT LEAD: + Oversee operational aspects of the health plan , ensuring efficient processes, compliance , and continuous improvement. ... with the third-party administrator (TPA) and ensuring efficient processes, compliance , and continuous improvement. + The Vice President of...to manage the budget and financial performance of the health plan , the VP Pharmacy for performance… more
- UPMC (Pittsburgh, PA)
- …lives, models, communicates and supports the values of UPMC and UPMC Health Plan . + Work on other compliance related projects as required by CCEO Leadership. ... UPMC Health Plan has an exciting opportunity for a Supervisor, Compliance position. This will be a full time position working Monday through Friday daylight… more
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