Hybrid PM Compliance and Regulatory Initiatives

Posted 3 days ago

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About the role

  • Manager of DSE Provider Network Operations leading a team of specialists
  • Managing core functions within DSE such as quality assurance auditing and contract implementation
  • Driving process improvements focused on increasing efficiency and reducing costs
  • Organizing and leading assigned process improvement projects
  • Collaborating with stakeholders to develop and document key processes
  • Managing regular quality assurance audits on audit failures
  • Establishing relationships with corporate departments
  • Managing SharePoint integrity and team deliverables
  • Communicating results to stakeholders and creating presentations
  • Tracking and trending unresolved audit findings and creating monthly presentations on unit performance

Requirements

  • High School Diploma
  • Managed Care operations; working with various business partners to facilitate resolution (Legal, Regulatory/Compliance, Quality)
  • Project planning small and large scale initiatives
  • Familiarity with implementing corrective action plans and recommending approaches on how to improve efficiency in process flows.
  • Great attention to detail
  • Creating presentations and presenting to management
  • Managing a team of direct reports
  • Critical thinking skills
  • MS Excel, Word, Power Point

Benefits

  • medical, dental and vision coverage
  • incentive and recognition programs
  • life insurance
  • 401k contributions

Job title

PM Compliance and Regulatory Initiatives

Job type

Experience level

Mid levelSenior

Salary

$81,100 - $117,470 per year

Degree requirement

High School Diploma

Location requirements

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