- LA Care Health Plan (Los Angeles, CA)
- Compliance Delegation Oversight Program Manager III Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los ... support the safety net required to achieve that purpose. Job Summary The Program Manager III oversees multiple complex programs in the department. This position… more
- CareOregon (Portland, OR)
- …reports to Health Share by subcontracted organizations. + Identify, evaluate, and prioritize delegation oversight compliance risk through an annual risk ... process that supports the development of an internal annual delegation oversight compliance audit plan.... program effectiveness + Knowledge and experience with delegation oversight of managed health care operations… more
- Molina Healthcare (Long Beach, CA)
- …Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily ... including delegation standards and requirements contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The ** Delegation Oversight Nurse**… more
- Molina Healthcare (Los Angeles, CA)
- …regulatory standards. * Creates and manages delegate KPI trend reporting used to support Delegation Oversight Program oversight activities. * Prepares ... **JOB DESCRIPTION** **Job Summary** The Manager, Delegation Oversight position is responsible for...staff and oversight of delegated activities, ensuring compliance with State, Federal, NCQA, and Molina delegation… more
- CareOregon (Portland, OR)
- …with Oregon Administrative Rules. + Provides updates to manager on quality and delegation oversight responsibilities and recommends program improvements. + ... response to findings. + Presents or reports findings and recommendations to the Delegation Oversight Committee. + Participates in the development of evaluation… more
- Dignity Health (Bakersfield, CA)
- …**Minimum Qualifications:** - 3 years managed care experience - 1 year minimum of UM Delegation Oversight audit experience with Health Plan or large MSO - Case ... and DHMC regulatory requirements **Preferred Qualifications:** - 3-5 years UM/Case Management delegation oversight audit experience with a Health Plan or large… more
- UCLA Health (Los Angeles, CA)
- …an experienced and dynamic Senior Manager for our UCLA Health Medicare Advantage Plan Delegation Oversight Program to monitor the performance of contracted ... Physician Associations (IPA) and other vendors. This pivotal role ensures compliance with regulatory guidelines, adherence to operational standards, and continuous… more
- Dignity Health (Bakersfield, CA)
- …of HIPPA, managed care environment preferred - Several years of experience in delegation Management, compliance management or a related field preferred - Strong ... a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from… more
- PeaceHealth (Vancouver, WA)
- … certificates are available for inspections. + Pharmacist and Technician competency compliance oversight and assure documentation is in place for inspections. ... collective bargaining agreement, seniority, etc. **Job Summary** Responsible for the oversight of PeaceHealth Pharmacy compliance policies and procedures as… more
- Molina Healthcare (Ventura, CA)
- …CMIA, and CCPA Acts. Provides guidance, support and advice regarding the Compliance Program . Maintains, reviews, and updates appropriate policies and procedures. ... ensure compliance with all applicable laws, regulations and Molina's Compliance Program . **ESSENTIAL JOB DUTIES:** + Comprehensive start-to-finish review of… more