Delegation Oversight - 159+ job offers

Champion Health Plan

About Champion Health Plan Champion Health Plan is a mission-driven Medicare Advantage organization (HMO) serving beneficiaries across California and Nevada. Through strong provider partnerships and an integrated care model, we deliver high-quality, coordinated care to members, including those with

Centene Corporation

$70,100 - $126,200 /year

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 Pu

JOB DESCRIPTION Job Summary Provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity req

Delegation Oversight Specialist Position Summary: The Delegation Oversight Specialist is responsible for overseeing all components of health plan delegation oversight, including audits, internal reviews, and performance monitoring to ensure compliance with regulatory and contractual requirements. Th

Ankura

Ankura is a team of excellence founded on innovation and growth. Ankura’s Disputes and Economics Healthcare practice is seeking an Senior Associate for our payer government programs compliance & operations consulting services. This exciting position will focus on driving value to clients through com

Molina Healthcare

$73,008 - $123,164 /year

JOB DESCRIPTION Job Summary Provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity req

Job Description Provides senior level audit support for delegation oversight activities. Responsible for ensuring delegates are compliant with the applicable state, federal, contractual requirements, National Committee for Quality Assurance (NCQA), and Molina requirements for the health plan(s) they

Molina Healthcare

JOB DESCRIPTION Job Summary Provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity req

Molina Healthcare

Job Description Provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements an

Molina Healthcare

JOB DESCRIPTION Job Summary Provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity req

Molina Healthcare

JOB DESCRIPTION Job Summary Provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity req

Molina Healthcare

Job Description JOB DESCRIPTION Job Summary Provides senior level audit support for delegation oversight activities. Responsible for ensuring delegates are complaint with the applicable state, federal, contractual requirements, National Committee for Quality Assurance (NCQA), and Molina requirements

Description The Delegation Oversight Reporting Analyst is responsible for supporting delegated oversight reporting, regulatory compliance, and data validation activities within the Managed Services Organization (MSO). This role ensures the accurate, timely, and compliant submission of regulatory, he

LSMA Management, Inc.

Job Summary The Delegation Oversight Reporting Analyst supports delegated oversight reporting, regulatory compliance, and data validation activities within the Managed Services Organization (MSO). This role ensures the accurate, timely, and compliant submission of regulatory, health plan, and intern

A healthcare organization in California is seeking a Delegation Oversight Reporting Analyst responsible for regulatory compliance and oversight reporting. The candidate will maintain reporting templates, validate data, and ensure timely submission of reports relating to Utilization Management, Case

LSMA Management, Inc.

A healthcare management organization seeks a Delegation Oversight Reporting Analyst in California to support oversight reporting and regulatory compliance. This role involves maintaining templates, validating data, and collaborating across departments to ensure accurate reporting. Candidates should

Your Role The Delegation Oversight team is responsible for driving continuous quality improvement across delegated functions and ensuring compliance with applicable regulatory, contractual, and accreditation requirements. The team oversees delegated Utilization Management (UM) activities in accordan

Your Role The Delegation Oversight team is responsible for driving continuous quality improvement across delegated functions and ensuring compliance with applicable regulatory, contractual, and accreditation requirements. The team oversees delegated Utilization Management (UM) activities in accordan

*Your Role** The Delegation Oversight team is responsible for driving continuous quality improvement across delegated functions and ensuring compliance with applicable regulatory, contractual, and accreditation requirements. The team oversees delegated Utilization Management (UM) activities in accor

Molina Healthcare

JOB DESCRIPTION Job Summary Provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity req