- Molina Healthcare (Bellevue, 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
- BrightSpring Health Services (WA)
- …validate timely resolution of action items. + Promotes clinician retention through oversight of ongoing staff development. Collaborate with Director , HH Clinical ... Managers in collaboration with their up-line managers related to clinical oversight , Performance Improvement, operational processes and clinical outcomes… 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
- CenterWell (Olympia, WA)
- …and communicate remediation plan to IPA Dyad partners. + Partners with market operational leaders to identify operational issues that impact clinician and coder ... staff workload and redistribute resources as needed to meet market operational demands. + Monitor coding processes, identify inefficiency, and develop… more
- CenterWell (Olympia, WA)
- …Director , the Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. ... (ACO) business. This role will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid… 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 (Bellevue, 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 (Spokane, 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