2 executive jobs found

Overview: Drives compliance and risk management through data-driven insights and regulatory expertise.   This senior-level role oversees data collection, analysis, trending, and reporting to ensure compliance with state and federal regulations. Applies deep knowledge of healthcare statutes and organizational operations to deliver actionable insights using data resources and technical tools. Manages ongoing risk assessments, compliance issue logs, and dashboards within the Compliance Case Management system. Maintains compliance documentation and reporting for executive leadership and Board-level review. Conducts detailed analysis, independent monitoring, and auditing—including billing, coding, and documentation reviews—while developing risk-mitigating action plans to support regulatory adherence and organizational integrity. Responsibilities: Key Responsibilities:   • Leads data collection, analysis, trending, and reporting to ensure compliance with state and...

Overview: Training for this position is onsite for the first two months , after which the role will transition to a hybrid schedule .   Supports the management and administration of managed care contracts within the health system. Assists in drafting, reviewing, and maintaining contract documentation to ensure compliance with legal and organizational standards. Collaborates with internal teams—including managed care, legal, and finance departments—to facilitate contract execution and monitor vendor and partner performance. Helps track contract deliverables, supports negotiations, and addresses contract-related inquiries. Maintains accurate records and assists with audit preparation to support effective managed care contract management. Responsibilities: Key Responsibilities:   • Supports the administration and management of managed care contracts • Assists in drafting, reviewing, and maintaining contract documentation to ensure compliance • Collaborates with managed...