- Molina Healthcare (St. Petersburg, FL)
- …operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve ... **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited to performance of… more
- Molina Healthcare (St. Petersburg, FL)
- …compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and ... controls that internal teams and delegated vendors must follow, and you keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy, and quality functions. You surface systemic issues, steer partners toward durable fixes, and… more
- Molina Healthcare (St. Petersburg, FL)
- …with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight , monitoring and training of local plans' provider dispute and appeals ... and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare's maximum STAR… more
- Black & Veatch (Tampa, FL)
- ** Director of Water Resources and Community Planning** Date: Jul 4, 2025 Location: US Company: Black & Veatch Family of Companies **Together, we own our company, our ... across a matrixed organization to achieve segment, solution, and operational team goals. + Serve as a leadership skill...serve on projects in select roles. Roles could include oversight and project direction; quality assurance; being a technical… more
- Molina Healthcare (St. Petersburg, FL)
- …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
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …of Staff and serves as a key clinical resource for the Healthcare System Director and Chief of Staff. The DCOS's responsibilities include serving as the lead ... key advisor to the Chief of Staff (COS) and Director on clinical issues and assists in the administration...on clinical issues and assists in the administration and oversight of the assigned clinical programs. In the absence… more