- Molina Healthcare (Vancouver, 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 (Vancouver, 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
- CareOregon (Portland, OR)
- …Status Non-Exempt Management Level n/a Direct Reports n/a Manager Title Director , Operations Department Claims Requisition 25053 Pay & Benefits Estimated hiring ... of potential regulatory or other changes that could impact internal oversight activities. Essential Responsibilities + Track and communicate changes to regulatory… more