communities and residents and to support the safety net required to achieve that purpose. Job Summary The Director, Claims... Director has ownership of claims regulatory compliance and audit readiness. This position oversees daily production, inventory...
ensures that all electronic and paper-to-electronic data supporting claims and administrative operations is accurate, timely... on the success of L.A. Care. Oversees the development, implementation, administration, and maintenance of the department...
communities and residents and to support the safety net required to achieve that purpose. Job Summary The Director... behaviors. The Director oversees the full configuration life cycle - from impact assessment and requirements analysis through...
findings, recoveries, and interventions. Collaborates with Claims Administration, Configuration, Provider Network Management... communities and residents and to support the safety net required to achieve that purpose. Job Summary The Director, Payment...
, including Claims Administration, Payment Integrity, Configuration, Electronic Dara Interchange (EDI) and Quality Assurance... in managed care operations, including Claims Administration, Payment Integrity, Configuration, or similar functions At least 8...
DIRECTOR OF OPERATIONS Industry: Multi-Site Healthcare Clinics Location: On-site | Multi-location Status: Exempt... multi-site healthcare organization seeking an experienced Director of Operations to oversee day-to-day clinic operations...
management, risk analysis and mitigation, claims support, compliance, and dispute resolution. We partner with the public sector... and inspection, contract administration and oversight, compliance monitoring, and comprehensive construction and project management...
on: Network Strategy & Operations: Support ACN Director in development and execution of strategic plan to expand and enhance... in delivery of services (including claims, quality, clinical, etc.) Physician Services: Coordinate strategies to address...
role ensures strong collaboration with Utilization Management, the UM Medical Director, physician reviewers, Compliance..., Member Services, Provider Network Management, claims teams, and the Center of Quality & Excellence to support compliant...
collaborative, high-performance culture. About the Role This is a full-time, non-exempt position reporting to the Director... of Administration. The Legal Practice Assistant provides high-level administrative and litigation support to attorneys within the Trial...
with internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field.... Deliver clinical, efficacy, and safety messaging and information about product access / safe administration to relevant...