- Brooksby Village by Erickson Senior Living (Peabody, MA)
- …budget for the Department of Nursing.Managing the survey process and all regulatory compliance visits.Monitoring staffing, scheduling, and payroll in continuing ... part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of...Director of Continuing Care to review quality trends and regulatory compliance .Implementing a person-centered approach to care,… more
- Charlestown by Erickson Senior Living (Catonsville, MD)
- …Catonsville, Maryland. We're part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and ... Key Performance Indicators, and workforce/executive dashboardsEstablish positive rapport with regulatory agencies; keep current on changes in federal, state, and… more
- Robert Half Legal (Rancho Cucamonga, CA)
- …team and become a Managed Care expert (MediCare). You will advise on regulatory and compliance issues, and a critical HIPAA advisor. You will manage outside ... executive briefings for leadership. + Be a Subject Matter Expert & Trust Managed Healthcare Advisor: Attend meetings with different business units, analyze legal… more
- Prime Healthcare (Denville, NJ)
- …monitor regulatory , provider manual, and related process changes; maintain managed care infrastructure; assist in the measurement of payer compliance ... relevant bachelor's degree2. Minimum of 3 years of contract negotiation/ managed care experience at a healthcare provider...of contract negotiation/ managed care experience at a healthcare provider or managed care company preferred.3.… more
- Morehouse School Of Medicine (Atlanta, GA)
- …is responsible for the management and administration of Morehouse School of Medicine's Healthcare Managed Care programs and Revenue Cycle. This position ensures ... + Maintains transparency and communication throughout the organization on evolving regulatory environment to ensure compliance . + Participates in external… more
- Burrell Behavioral Health (Springfield, MO)
- …communication. + Manage general department administration, including budget planning, regulatory compliance , and promoting organizational culture. + Perform ... Job Description: Job Title: Director of Managed Care Enrollment Services Location: Missouri: Springfield, St....8am-5pm Job Summary: Are you a passionate and dedicated healthcare leader looking to make a positive impact in… more
- AdventHealth (Maitland, FL)
- …to succeed:** **KNOWLEDGE AND EXPERIENCE STRONGLY PREFERRED:** . General knowledge of healthcare , hospital and provider operations, and managed care payer ... kept to a minimum. . Monitor payors to ensure compliance with the contract's financial language provisions. . Assists...understanding of the managed care payers and managed care contracting requirements. . Knowledge of healthcare… more
- Sutter Health (Sacramento, CA)
- …position is to support or lead payer negotiations, implementation of the managed care payer agreements and contract compliance , including performance analysis ... of market imperatives, provider payment terms and trends for healthcare providers. + Ability to perform managed ...commercial and government sponsored. + An understanding of all regulatory requirements for contracting and compliance as… more
- AdventHealth (Maitland, FL)
- …providers outlined in AHS policies, or related contracts. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while ... delegated and community CIN providers affiliated with AHS. Responsible for ensuring compliance with regulatory bodies (Joint Commission, NCQA, CMS, federal and… more
- BlackRock (Princeton, NJ)
- … managed account services, including those with options overlay strategies. + ** Regulatory Compliance Oversight:** Ensure the firm's compliance with all ... **About this role** Description and Position Overview The Regulatory Advisory Compliance team within BlackRock's Legal and Compliance Department oversees … more
- Healthfirst (NY)
- … managed care health plan, pharmacy benefits management, delegated vendor, or healthcare regulatory compliance experience + Experience in supporting ... in the healthcare industry with knowledge of compliance and regulatory requirements **Preferred Qualifications:** +...Previous history of working in a Medicare and Medicaid managed care environment with a focus on quality outcomes… more
- Queen's Health System (Honolulu, HI)
- …provided to members. * Performs financial analysis, operational evaluation, and compliance issues on payer agreements to recommend action for executive review. ... operations. * Master's degree in related field preferred. * Knowledge of healthcare delivery systems, including contracting and financial analysis. * Knowledge of… more
- Molina Healthcare (AZ)
- …Public Health, Social Work, or related field. **Required Experience** + 5+ years of managed healthcare experience, including 3 or more years in one or more ... **Preferred Experience** + 3+ years supervisory/management experience in a managed healthcare environment. + Medicaid/Medicare Population experience with… more
- CommonSpirit Health Mountain Region (Englewood, CO)
- …Common Spirit Medical Group managed clinics and the CCECs. Guarantees compliance and continuous regulatory , licensure, and accreditation compliance in ... multiple States and regions. Responsible for the coordination and regulatory compliance including state, federal and NCQA...Experience Requirements: + Three years of experience in a healthcare setting in a similar role + One year… more
- Molina Healthcare (Albuquerque, NM)
- …+ Accountable for ensuring compliance with contractual, accreditation and regulatory requirements for all Healthcare Services teams. + Participates ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and...education and work experience. **Required Experience** + 10 years managed care experience (LTSS) with line management responsibility including… more
- Aveanna (Atlanta, GA)
- Director, Regulatory Licensing ApplyRefer a FriendBack Job Details Requisition #: 194333 Location: Atlanta, GA 30339 Category: Management Salary: Starting at ... you passionate about making a difference in people's lives through superior home healthcare ? Look no further! Aveanna Healthcare is seeking dedicated individuals… more
- Molina Healthcare (Milwaukee, WI)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. Although remote, _you must reside in_ **_Wisconsin_** _for… more
- Healthfirst (NY)
- …in managing staff and developing staff + Expertise reading and interpreting regulatory requirements for healthcare / managed care organizations + Expertise ... and oral (ie, conference calls, face-to-face meetings and presentations) Compliance & Regulatory Responsibilities: See Above License/Certification: N/A more
- Sanofi Group (Morristown, NJ)
- …Consumer Healthcare or Pharma industry preferred + Strong knowledge in GMP Regulatory Compliance , including Regulatory audits + Certified Quality Auditor ... **Associate Director, Quality - US Consumer Healthcare (CHC)** + **Location: Morristown, NJ** + **Remote...quality processes and activities in scope are executed in compliance with the CHC Global Quality standards and applicable… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Ability to analyze medical record notes to ensure correct coding, billing compliance and complete charge capture. + Ability to research regulatory ... Us!** Connect with us for general consideration! **Division** _Emory Healthcare Inc._ **Campus Location** _Atlanta, GA, 30345_ **Campus Location** _US-GA-Atlanta_… more
Related Job Searches:
Compliance,
Healthcare,
Healthcare Regulatory,
Healthcare Regulatory Compliance,
Managed,
Regulatory,
Regulatory Compliance