- Molina Healthcare (Cleveland, OH)
- …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 (Cleveland, OH)
- …compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and ... you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners… more
- Molina Healthcare (Cleveland, OH)
- …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
- Millennia Housing Management (Lakewood, OH)
- …and related reporting, interfacing with insurance adjusters to meet company standards. Operational Oversight & Compliance + Oversee quarterly apartment and ... Position Overview The Regional Facilities Director (RFD) is responsible for overseeing the maintenance...major projects, coordinating vendor selection, bid negotiation, and project oversight . + Track and control project schedules to ensure… more