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<a href="#"> Back </a> <h1>Medical Assistant / MA Orthopedics</h1>

Hillcrest Healthcare System

Medical Assistant / MA Orthopedics

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Manages the care management team and the care coordination of behavioral health members to develop and assess high quality, cost-effective healthcare outcomes related to mental and behavioral health needs. Manages escalations and care management issues related to members or providers. (Must reside(Oahu).<ul> <li>Oversees and reviews care management required documentation to maintain compliance with federal and state regulations and contractual agreements</li> <li>Develops, implements, and oversees care management policies and procedures within the care management team based on regulatory requirements and industry standards</li> <li>Directs the daily activities of care management staff including reviewing and approving the caseloads of care management staff based on state requirements, care management staff experience, and member needs</li> <li>Manages escalated and complex care cases, and provides guidance to team members to address member concerns related to mental and behavioral health members</li> <li>Manages resolutions of complaints and assists in audits and evaluations related to care programs</li> <li>Develops, implements, and oversees care management programs to facilitate the use of appropriate services and resources</li> <li>Sets goals and objectives for care management team to achieve cost-effective healthcare results</li> <li>Works with care management senior management to provide updates and insights on care management team goals</li> <li>Provides feedback to care management team to improve member and provider experience and high-quality care</li> <li>Educates and provides resources for care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers</li> <li>Assists care management senior leadership with onboarding, hiring, and training new care management employees, recent promotes, and transfers within the department</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: Requires a Master's degree or 5+ years of related experience.Pay Range: $100,900.00 - $186,800.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Oklahoma Complete Health

Manager, Care Management

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.Position Purpose: Assist in maintaining Centene Corporation’s Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies.<ul> <li>Respond to external requests for information required by the organization for its regulatory filings.</li> <li>Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies.</li> <li>Manage ethics and compliance projects or implementations.</li> <li>Review and synthesize regulatory requirements and create policy and/or position statements.</li> <li>Assist in managing annual code of conduct attestation and remediation.</li> <li>Communicate state and federal requirements to internal and external clients.</li> <li>Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures and work instructions.</li> <li>Assist in the identification, analysis, and resolution of compliance issues.</li> <li>Maintain and review regulatory documentation necessary to maintain corporate standards.</li> <li>Assist in developing, producing and conducting compliance training programs.</li> <li>Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities.</li> <li>Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members.</li> <li>Assist management with interim health plan compliance officer responsibilities.</li> <li>Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed.</li> <li>Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.</li> </ul>Education/Experience:<ul> <li>Bachelor’s degree in related legal field or equivalent experience. Master’s or Juris Doctorate degree preferred and maybe considered in lieu of experience.</li> <li>3+ years of related experience in compliance privacy and/or regulatory affairs.</li> <li>Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations.</li> </ul> Pay Range: $68,700.00 - $123,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Senior Compliance Analyst - ICHRA

<a href="#"> Back </a> <h1>Medical Assistant / MA Southpoint Cardiology</h1>

Medical Assistant / MA Southpoint Cardiology

<a href="#"> </a> <a href="#">About Us</a> <a href="#">Current Employee Job Search</a> <a href="#">Go to Hillcrest HealthCare System Careers</a> <ul> <li> <a href="#">Home</a> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> <a href="#">Join Talent Community</a> </li> </ul> <ul> <li> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> </li> <li> <ul> <li><a href="#">Careers Home</a></li> <li><a href="#">Search Jobs</a></li> </ul> </li> </ul> Candidates residing in the following states, CA, CO, CT, HI, IL, MA, MD, ME, MI, MN, NH, NV, NY, OR, RI, VT, WA, Washington DC and WV, must be willing to relocate if they are hired in a remote role. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. FOLLOW US <a href="https://www.linkedin.com/company/hillcrest-healthcare-system" target="_blank"> </a> <a href="https://www.youtube.com/user/HillcrestMedicalCtr" target="_blank"> </a> <a href="https://www.facebook.com/UticaPark" target="_blank"> </a> <h4>ARDENT HEALTH SERVICES</h4> Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments – producing high quality care and extraordinary results. <h4>CONTACT US</h4> 340 Seven Springs Way Suite 100, Brentwood, TN 37027 (615) 296-3000 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Copyright © Ardent Health Services. All rights reserved. <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a>

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