- Pacific Medical Centers (Seattle, WA)
- **Description** **Overview:** The director provides leadership for USFHP clinical operations : including care management and the clinical quality ... develops and implements programs to improve results. Serves on the national USFHP Alliance Operations Committee as the principal PMC representative. Responsible… more
- Point32Health (Canton, MA)
- …regulatory requirements, including but not limited to ACA, CMS, DOI, EOHHS, NCQA and USFHP . The director works closely with key internal stakeholders such as ... general direction of the VP, the Appeals and Grievances Director is responsible for management and oversight of the...for; directing, leading, and modifying the business processes and operations for member appeals and member grievances to ensure… more