include, but are not limited to Leverages hypotheses based approach to identify, validate and quantify opportunities Develops infrastructure around data, tools and processes to create sustained organizational capabilities Distills complex business problems into cohesive, impactful stories; builds appropriate horizontal and vertical logic in presentations Continues to push

Leads ongoing evolution and execution of multi year technology and process optimization roadmap for patient insurance support lanes Leads critical projects aimed at optimizing insurance education reach and effectiveness by working across multiple service lanes; monitor metrics, track progress of initiatives, and prepare presentations for senior leadership Identifies patie

4041 North University Parkway,San Bernardino,California,92407,United States of America Insurance Counselor This vital, patient centered role provides education and guidance to DaVita patients about health insurance and the implications of different insurance options. This position helps patients understand their insurance options and make informed employment and insurance

Job Title Financial Crimes Compliance (FCC) Modeling Analyst Location CityScape What you'll do Financial Crimes Compliance Modeling Analysts are responsible for assisting in maintaining and improving Financial Crimes Compliance analytics and technological capabilities. Under the Financial Crimes Compliance Data Analytics Manager, the Analyst supports the development of pr

Job Title Financial Crimes Compliance (FCC) Modeling Analyst Location CityScape What you'll do Financial Crimes Compliance Modeling Analysts are responsible for assisting in maintaining and improving Financial Crimes Compliance analytics and technological capabilities. Under the Financial Crimes Compliance Data Analytics Manager, the Analyst supports the development of pr

Own the 911 Operating Procedures and associated Compliance Manual Develop, implement, and improve upon processes in the evolving 911 environment Responsible for timely notifications and reporting of 911 events internal and external as required and defined by the FCC and regulatory bodies; including reporting of noncompliance of any portion of FCC mandated orders Handle hi

Help process provider applications and re applications including initial mailing, review and loading into the database tracking system Conduct audits and provide feedback to reduce errors and improve processes and performance Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others Solve complex problems on own; proactively ide

The BSA Officer is responsible for developing and overseeing the Bank's AML, CFT, CIP, OFAC, and information security programs in alignment with regulatory requirements and industry best practices. This position advises Bank management of emerging AML, CFT, CIP, OFAC and information security risks and guides the Bank in establishing controls to mitigate said risks. This p

The Senior Quality Coordinator is part of the Novato Quality Leadership Team (NQLT) reporting to the Head of Site Quality in Novato, California. The role is responsible for supporting MSA, NDA and SOW for the head of Global Quality Assurance, Novato Site Quality Head and Head of Product Quality Lifecycle Management Head. The Senior Quality Coordinator will work in a fast

Reviews and Analyzes system activity and generated alerts with specific focus on TPPP, MSB, and other High Risk Customer types in accordance with Financial Crimes Compliance expectations. Participates in the analysis, update, and implementation of financial crimes policies, procedures, and processes. Develop strengthen, and/or implement department and cross department bus

Claims Manager TPA Remote Job Locations US CA LOS ANGELES Job ID 2024 3803 Category Claims Type Regular Division Surplus & Specialty Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial

Educate Providers to ensure they have the tools they need to meet Quality, Risk adjustment, growth (as appropriate) and Total Medical Cost goals per business development plans Ensures Providers have in depth understanding of WellMed Model of Care to include, but not limited to, contractual obligations, program incentives and patient care best practices Conduct detailed an

Manage the evaluation of payer proposals related to Fee For Service (FFS), capitation arrangements and value based contracts Partner with the payer contracting team to manage the modeling and negotiation process, evaluate proposals, and provide guidance to senior leadership on the financial impact and viability of the contract Work closely with the Finance and Actuarial t

Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers Expertise in physician/facility/ancillary contract reimbursement methodologies Lead cross functional teams and drive the team to successfully complete the objectives Engage with local provider organizations to support, augm

Help process provider credentialing and enrollment applications and re applications including initial mailing, review and loading into the database tracking system Conduct audits and provide feedback to reduce errors and improve processes and performance Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others Solve complex pro