- Brooksby Village by Erickson Senior Living (Peabody, MA)
- …services.Meeting with Medical Director and Director of Continuing Care to review quality trends and regulatory compliance .Implementing a person-centered ... within the community. The Director of Nursing is committed to providing quality care to the residents while setting strategies and goals to drive the team to… more
- Charlestown by Erickson Senior Living (Catonsville, MD)
- …of care and services. As a participating member of the Executive Team, the Director of Continuing Care is dedicated to creating an environment in which our ... Location:Charlestown by Erickson Senior LivingCharlestown is a beautiful 110-acre continuing care retirement community located just minutes from Baltimore in the… more
- AmeriHealth Caritas (Philadelphia, PA)
- ** Director Compliance - Medicaid Managed Care ** Location: Philadelphia, PA Primary Job Function: Compliance ID**: 31541 **Job Brief** This position ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and...our Airport Business Center office 4-5x per month. The Director , Compliance reports directly to the … more
- AdventHealth (Maitland, FL)
- …coordinating depositions, and participation in any trial or hearing. . Audits existing Managed Care agreements for payer compliance with terms, timely ... This position will be responsible for execution of the managed care payor dispute resolution processes for...dispute resolution processes. The position reports to the Executive Director of Reimbursement and Compliance . Experience in… more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Job Summary:** The System Executive Director - Managed Care position is responsible for planning, ... and procedures, processes, and measurement tools. The System Executive Director - Managed Care is...business opportunity assessment with administrative and clinical leadership. Ensures managed care payer compliance . Leads… more
- Morehouse School Of Medicine (Atlanta, GA)
- Director of Managed Care and...care principles and operations along with knowledge of Managed Care Operations accreditation and compliance . ... career at MSM ! Posting Number NONAC3283 Job Title Director of Managed Care and...addition, this position is responsible for the accuracy and compliance of claims processing, denial adjudication, collection processing, and… more
- Burrell Behavioral Health (Springfield, MO)
- Job Description: Job Title: Director of Managed Care Enrollment Services Location: Missouri: Springfield, St. Louis, Columbia, Kansas City, Kirksville; ... and advance your career? Join our team as the Director of Managed Care Enrollment...Assist in administering the credentialing and enrollments database, ensuring compliance and accurate data communication. + Develop and nurture… more
- UCLA Health (Los Angeles, CA)
- …a liaison with the Lead Actuary, Director of Compliance , Director of Managed Care and Director of Medicare Advantage Operations regarding ... for but not limited to Centers for Medicare and Medicaid Services, Department of Managed Health Care , Internal Revenue Service and Franchise Tax Board + Leading… more
- S&P Global (New York, NY)
- …Team:** This is a commercial position within S&P Global Market Intelligence, Regulatory Compliance Division. This position will report into the of Commercial Head ... Managed Services but work closely with the Sales, Operations,...the Sales, Operations, Technology / Product team across Regulatory Compliance . **Responsibilities and Impact:** Our comprehensive services bring greater… more
- Lutheran (West Seneca, NY)
- Medicaid Managed Care Liaison Regular Full-Time West Seneca, NY, US Requisition ID: 1132 Apply GA Family Services is seeking a Medicaid Managed Care ... care . This role coordinates with the Medicaid managed care plans as the liaison for...when appropriate in medical in-service training programs + Demonstrates compliance with all federal and state laws and regulations… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Director , Third Party Compliance Oversight reports directly to the SVP, Corporate Compliance & Ethics and ... Risk Operations, and leads the Third-Party Compliance Oversight department for Commonwealth Care Alliance...Strong acumen and understanding of healthcare, health insurance and managed health care industries and organizations required.… more
- Nuvance Health (Norwalk, CT)
- …D: Fulfills all compliance responsibilities related to the position 3. Director Care Coordination- Major Responsibilities Criteria A: Performs other duties ... Guidelines. Desired: Registered Nurse with management experience Responsibilities: 1. Director Care Coordination- Major Responsibilities Criteria A: Provides… more
- Ophthalmic Consultants of Boston (Waltham, MA)
- Ophthalmic Consultants of Boston (OCB) is currently seeking a Director of Compliance . This role will report to the Vice President of Operations and have a ... working relationship with the OCB Co-Presidents/Medical Director and the MD Compliance ...compliance , risk and/or regulatory programs in a health care setting, progressive experience in out-patient coding and billing… more
- Marriott (Columbus, OH)
- …**Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director , Technical Services & Security Compliance (TSSC) - Technical ... addition this position will be tasked with supporting the compliance efforts in our managed hotels as...All locations offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible… more
- MyFlorida (Tallahassee, FL)
- DIRECTOR OF COMPLIANCE & INITIATIVES - SES - 60006853 Date: Jun 4, 2024 Location: TALLAHASSEE, FL, US, 32303 The State Personnel System is an E-Verify employer. ... Requisition No: 830616 Agency: Children and Families Working Title: DIRECTOR OF COMPLIANCE & INITIATIVES - SES...evaluation, and implementation of a comprehensive statewide system of care for the prevention, treatment, and recovery of children… more
- Takeda Pharmaceuticals (Exton, PA)
- …application is true to the best of my knowledge. **Job Description** ** Director , Contracts & Pricing Compliance ** **Takeda Pharmaceutical** **Exton, PA** **About ... and empower you to shine? Join us as the Director , Contract & Pricing (C&P) Compliance in...5+ years at management level and prior experience in Managed Markets and/or Finance + Anticipates and prepares for… more
- CareOregon (Portland, OR)
- …4 years' experience in a supervisory position + Leadership experience in a managed care organization Knowledge, Skills and Abilities Required Knowledge + ... Job Title Director , Compliance Exemption Status Exempt Management...Knowledge of managed healthcare operations...technologies + Knowledge of the Patient Protection and Affordable Care Act + Knowledge of OAR's and their purpose… more
- University of Colorado (Aurora, CO)
- Primary Care Director / Family (or Adult Gerontology) Nurse Practitioner - 32571 Faculty **Description** **University of Colorado Anschutz Medical Campus** ... **College of Nursing** **Job Title:** **Primary Care Director / Family (or Adult Gerontology)...clinicians to ensure high quality, productive medical and nursing care . SHS is a multi-site, nurse- managed FQHC,… more
- AdventHealth (Orlando, FL)
- …Understanding of CMS Conditions of Participation for Discharge Planning Understanding of Managed Care and Value Based Programs Ability to work autonomously ... 125,000 outpatients each year **The role you'll contribute:** The Care Management Facility Director has full accountability... Care Management department, including all aspects of care coordination, care transition and compliance… more
- City of Detroit (Detroit, MI)
- Animal Care and Control Director Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4312575) Apply Animal Care and Control Director ... General + Description + Benefits + Questions Description The Director of Detroit Animal Care and Control...and shelter services are well-coordinated, effective, efficient, and in compliance with City of Detroit, State, and Federal regulations,… more
