- Molina Healthcare (Everett, WA)
- …compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and ... related field (advanced degree a plus). **Experience** * 7+ years managing Medicare CTM, appeals & grievances, or related compliance functions-hands-on with CMS CTM… more
- Molina Healthcare (Everett, WA)
- …to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight , monitoring ... and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's… more
- Molina Healthcare (Everett, WA)
- …and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's ... for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible...DSNP, HIDE, FIDE, EAE, AIP, etc. * Provides direct oversight , monitoring and training of provider disputes and appeals… more
- Provider Solutions & Development (Edmonds, WA)
- Swedish Medical Group is seeking an Executive Medical Director of Acute Care Medicine to join the Swedish Edmonds Administration in Edmonds, Washington. This is a ... such as: acting as a key partner to the CNO in the oversight of clinical operations, collaborating with department heads to align medical practices with… more
- University of Washington (Seattle, WA)
- …to join their team.** The purpose of this position is to provide operational administration and management of Faculty Affairs (Academic HR) to the Department of ... has determined it needs an expert in Academic HR processes primarily engaged in oversight and management of Academic HR operations. The Business Partner must have a… more
- Molina Healthcare (Everett, WA)
- …in collaboration with the Manager or Director . * Keeps Manager or Director apprised of operational issues, including staffing resources, program and system ... drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient… more
- Molina Healthcare (Everett, WA)
- …strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core ... contracts. Issue escalations, network adequacy, Joint Operating Committees, and delegation oversight . Tighter knit proximity ongoing after contract. * In conjunction… more