- Fujifilm (Santa Fe, NM)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to ... the Corporate Compliance Director. The Compliance Manager ...compliance programs related to laws and regulations, including healthcare compliance , anti-corruption, antitrust, and anti-money laundering… more
- Molina Healthcare (Santa Fe, NM)
- …for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies ... navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified… more
- Molina Healthcare (Santa Fe, NM)
- …for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies ... navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM),… more
- Molina Healthcare (Santa Fe, NM)
- …(PSOC) projects, programs and deliverables to ensure compliance with all regulatory requirements. The manager will assume the role and responsibilities of ... abroad + Ensure appropriate consultation regarding threat mitigation, workplace violence, and regulatory compliance . Regularly report compliance metrics to… more
- Molina Healthcare (Santa Fe, NM)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Quality Interventions/ QI … more
- Molina Healthcare (Santa Fe, NM)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data ... in all government lines of business impacted by the regulatory risk adjustment payment model. They will be assist...medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program, this role supports… more
- Molina Healthcare (Santa Fe, NM)
- …and make decisions as needed while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position… more
- Molina Healthcare (Santa Fe, NM)
- …with PMO standards, stage gates, and financial controls. + **Operational & Regulatory Acumen ( Healthcare /Claims)** + Deep understanding of claims lifecycle, EDI ... may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span people,… more
- Cardinal Health (Santa Fe, NM)
- …within the organization develops, enhances, and maintains security policies and IT compliance programs in alignment with regulatory , legal, and contractual ... Overview:_** Cardinal Health, Inc. (NYSE: CAH) is a global healthcare services and products company. We provide customized solutions...Act), as well as relevant governance frameworks to drive compliance to those regulatory requirements such as… more
- Cardinal Health (Santa Fe, NM)
- …building or maturing security programs for **multi-site healthcare practices** , including compliance with all regulatory standards + Must be able to assess ... with clinical educators to ensure **training integrates seamlessly** into existing healthcare compliance , licensing requirements, and onboarding programs +… more
- Carrington (Santa Fe, NM)
- …traditional and digital communications. + Conduct regular audits of letter logic and regulatory requirements to ensure accuracy and compliance . + Analyze and ... Central Time Zone or Eastern Time Zone hours!** The Communications Governance Manager will be responsible for overseeing the end-to-end communications process within… more
- Molina Healthcare (Santa Fe, NM)
- …policy committee. * Ensures compliance with medical policy and maintaining compliance with all federal, state and local regulatory guidelines. * Designs ... Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC),… more
- Fujifilm (Santa Fe, NM)
- …into actionable user stories and system requirements. + Integrate input from regulatory , marketing, and implementation teams to maintain compliance and accuracy ... **Position Overview** The CPQ Product Marketing Manager , Medical Informatics (MI), manages our go-to CPQ market strategy and workflows for the Synapse Enterprise… more
- Molina Healthcare (Santa Fe, NM)
- …in resolving complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional ... Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory / compliance adherence. To all current Molina employees: If you… more
- Cayuse Holdings (Santa Fe, NM)
- …in compliance with privacy laws, accessibility standards, and other regulatory frameworks. **Desired Qualifications:** + Master's degree in a relevant field (eg, ... **Overview** **Hybrid in Olympia, WA** **The Work** The Senior Account Manager is responsible for leading the strategic direction and overseeing the delivery of all… more
- Datavant (Santa Fe, NM)
- …Assurance Audit function. This role is pivotal in ensuring operational effectiveness, regulatory compliance , and continuous process improvement across our audit ... and life experiences to realize our bold vision for healthcare . We are seeking a QA Audit Manager...Oversee audits of request and fulfillment processes to ensure compliance with state and federal laws, as well as… more
- Humana (Santa Fe, NM)
- …ranging from moderate to substantial, is also vital to the role. Ensuring compliance with company policies, procedures, and regulatory requirements in all ... execution. + Liaising with Legal, Risk Management, Internal Audit, Business Partner Compliance and other internal regulatory / compliance functions to mitigate… more
- Humana (Santa Fe, NM)
- …our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, providing a ... case management throughout the continuum of care. The case manager will offer guidance, support, and coordination of the...the beneficiary, the provider(s) or other members of the healthcare team and within the scope of the case… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …field medical operations, or external stakeholder engagement + Strong understanding of compliance and regulatory requirements in medical engagement + Strong ... The Senior Manager , External Engagement Strategic Planning will play a...and project management skills + Strong understanding of pharmaceutical compliance and regulatory frameworks + Excellent communication… more
- Molina Healthcare (Santa Fe, NM)
- … regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on ... with respect to financial and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance… more