- SR International, Inc. (Phoenix, AZ)
- …Arizona Department of Pubic Safety. Responsibilities -Leadership, financial management and oversight of a multi-dis, Medicare certified skilled nursing facility ... communicates issues and assists resolving them to the Assistant Deputy Director . Participates in the presentation of the facility's annual budget. Conducts… more
- Molina Healthcare (Mesa, AZ)
- …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 (Mesa, AZ)
- …and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- CVS Health (Phoenix, AZ)
- …heart, each and every day. **Position Summary** Drive growth for Medicare Advantage External Distribution Partnerships by setting strategic sales goals, crafting ... achieve measurable results. Act as Chief of Staff to the Executive Director of National External Distribution, ensuring alignment and execution of strategic… more
- Molina Healthcare (Mesa, AZ)
- …on increased responsibility and adding value to the organization + Ensures strong operational processes are in place to deliver across all areas of responsibility + ... Provides oversight analyses of demographic data to support accurate Network Adequacy Reporting and Directory development. + Manage multiple resources and projects… more
- CenterWell (Phoenix, AZ)
- …improvement. + Work collaboratively with the Strategy Advancement and Operations Director to align clinical and operational priorities. **Quality Improvement ... and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical...skills; ability to collaborate effectively with clinicians, executives, and operational leaders. + Advanced knowledge of Medicare … more
- Prime Therapeutics (Phoenix, AZ)
- …passion and drives every decision we make. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is ... As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and… more
- Molina Healthcare (Mesa, AZ)
- …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
- Baylor Scott & White Health (Phoenix, AZ)
- …, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor ... Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled...function for BSWH. + Recommends and implements strategic and operational plans and priorities for clinical denial management aligned… more
- Banner Health (Mesa, AZ)
- …measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This position is ... responsible for oversight of home health operations provided by Banner Home...industry leadership. This position provides leadership and direction to Director level leaders and clinical/non-clinical staff with a high… more
- Banner Health (Phoenix, AZ)
- …related to opportunities in Peer Review investigations and other operational /clinical priorities to align performance improvement opportunities with system and ... of the organization to achieve objectives such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (JC) standards of… more
- Molina Healthcare (Mesa, AZ)
- …Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of processes that track, evaluate, and submit encounter deletions ... for Medicare Advantage, ACA, and Medicaid lines of business. This...accuracy & completeness (ie, Encounter Production, Audit, Production Vendor Oversight ) for assigned lines of business. Responsible for increasing… more
- BrightSpring Health Services (Tempe, AZ)
- …in the hospice industry. Specializing in providing hospice pharmacy services since the Medicare benefit started in the 1980s, OnePoint Patient Care has grown to ... Pharmacy Operations Manager you will: + Collaborate with the Pharmacy Director to implement workflow improvements and productivity measures that support performance… more
