Chief Compliance Officer, Medicare Advantage Health Plan
5 days ago
We are seeking a seasoned Compliance Executive to lead our Compliance division and drive strategic growth, oversight, and operational leadership of our health plan's Compliance program.
Key Responsibilities- Implement and continually refine the Compliance Program, developing and maintaining compliance-monitoring tools as regulatory/contractual obligations change.
- Oversee and maintain compliance with contractual and regulatory obligations, State and Federal requirements, and develop strategic relationships with government agencies.
- Ensure compliance with regulations and controls by examining and analyzing records, reports, operating practices, and documentation.
- Develop internal audit plans, conduct and document internal audits, and identify areas of non-compliance.
- Establish and maintain a solid culture of compliance throughout the organization, developing Compliance training and education programs.
- Manage external regulatory audits, organize, document, and participate in all external audits, and support external auditors.
- Bachelor's degree required, Master's degree and/or Law degree preferred.
- 8+ years' experience in managed care with Medicare regulatory compliance experience, plus a minimum of 3 years in a senior management position.
- ISNP experience strongly preferred.
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Chief Administrative Officer
2 days ago
Charleston, West Virginia, United States CareStar Full timeAbout the RoleCareStar is seeking a highly skilled and experienced Chief Administrative Officer to join our Executive Team. As a key member of our leadership team, you will be responsible for overseeing the daily administrative operations of the organization, including Support Services, Human Resources, Education, Quality Improvement, Strategy, and...
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Chief Executive Officer of City Operations
2 weeks ago
Charleston, West Virginia, United States City of Roanoke, Virginia Full timeOverview of the Role: Position Summary The City of Roanoke, Virginia is in search of a seasoned leader to take on the role of Chief Executive Officer of City Operations. This individual will act as the principal administrative officer, tasked with executing the vision set forth by the City Council and overseeing the various programs and services of the...
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Medicare Insurance Sales Consultant
2 weeks ago
Charleston, West Virginia, United States #TeamGoHealthSalesIL Full timeWork EnvironmentEmbrace the flexibility of working remotely from your home, provided you operate from your licensed resident state. Shape your career path and take charge of your professional journey.Your OpportunityAt GoHealth, we recognize your determination to transform concepts into achievements. Now is the moment to pursue a career that appreciates and...
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Medicare Insurance Sales Consultant
2 weeks ago
Charleston, West Virginia, United States #TeamGoHealthSalesIL Full timeEmbrace the opportunity to work from the comfort of your home (must be located in your licensed resident state). Shape your own career path and take charge of your future. Are you driven to transform concepts into achievements and commitments into results? It's time to embark on a career that recognizes and rewards your passion. As a proactive self-starter,...
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Chief Executive Officer
7 days ago
Charleston, West Virginia, United States Nrharural Full timeAbout the RoleWe are seeking a highly skilled and experienced Chief Executive Officer to lead our hospital's operations and drive its success. As a key member of our leadership team, you will be responsible for overseeing the day-to-day activities of the hospital and ensuring that it operates in accordance with our organization's mission and values.Key...
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Chief Executive Officer
2 weeks ago
Charleston, West Virginia, United States The Ohio Council Full timePosition Overview:The Chief Executive Officer (CEO) will deliver visionary leadership and strategic guidance for The Ohio Council. The CEO will oversee the comprehensive management, administration, and operations of the organization, ensuring the provision of high-quality mental health services. This role necessitates close collaboration with the Board of...
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Chief Nursing Officer
5 days ago
Charleston, West Virginia, United States Nealy Pierce, LLC Full timeJob Summary:We are seeking a highly skilled and experienced Chief Nursing Officer to join our executive leadership team at Nealy Pierce, LLC. As a key member of our leadership team, you will play a pivotal role in driving nursing practice, leading your team, and ensuring the highest quality of patient care is consistently provided.About the Role:The Chief...
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Compliance and Regulatory Expert
7 days ago
Charleston, West Virginia, United States CAMC Health System Full timeJob SummaryThe Regulatory Quality Specialist will be primarily responsible for ensuring regulatory compliance and quality needs of the Accountable Care Organization (ACO) across the network and system. This role will be instrumental in the success of the West Virginia Health Network Medicare ACO across new and fast-growing regions of our network.This...
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Chief Executive Officer
7 days ago
Charleston, West Virginia, United States Big Brothers Big Sisters Full timeJob SummaryThe Chief Executive Officer (CEO) is responsible for leading the organization's mission and financial objectives, as well as overseeing the overall strategic and operational responsibilities of Big Brothers Big Sisters Miami Valley.Key ResponsibilitiesDevelop and implement strategies to advance the mission of Big Brothers Big Sisters of the Miami...
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Chief Medical Officer for Emergency Services
2 weeks ago
Charleston, West Virginia, United States All Star Healthcare Solutions Full timePosition OverviewWe are seeking a Chief Medical Officer to lead our Emergency Medicine department. This role involves overseeing medical operations and ensuring the highest standards of patient care.Key ResponsibilitiesAct as the primary medical leader for one facility while supporting another as the Associate Medical Director.Collaborate with a team of 23...
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Chief Psychiatric Officer
2 weeks ago
Charleston, West Virginia, United States Summit BHC Full timePosition Overview: Summit BHC is a leading provider of behavioral health services dedicated to delivering exceptional mental health care. We are seeking a Medical Director to oversee our psychiatric services and ensure the highest standards of care are met. The Medical Director will play a pivotal role in guiding the clinical practices of our facility,...
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Chief Psychiatric Officer
1 week ago
Charleston, West Virginia, United States Summit BHC Full timePosition Overview: Summit BHC is a leading provider of behavioral health services dedicated to delivering exceptional mental health care. We are seeking a Medical Director to oversee our psychiatric services and ensure the highest standards of patient care. The Medical Director plays a pivotal role in leading the clinical team, ensuring compliance with...
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Chief Executive Officer
5 days ago
Charleston, West Virginia, United States Ohio Society of Association Executives Full timeAbout the Position:The Ohio Society of Association Executives is seeking an experienced Executive Director to lead our organization. As the chief administrative officer, you will be responsible for recommending and participating in the formulation of new policies and making decisions within the bounds of existing policies. You will also plan, organize,...
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Medicare Sales Representative
3 days ago
Charleston, West Virginia, United States Molina Healthcare Full timeJob SummaryMolina Healthcare is seeking a highly motivated and results-driven Medicare Sales Representative to join our team. As a key member of our sales team, you will be responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas.Key...
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Chief Information Security Officer
2 weeks ago
Charleston, West Virginia, United States Pioneer search Full timeLocation:London Salary: GBP165000 – GBP185000 per annum + Full Package – Bonus,Benefits Type: PermanentChief Information Security Officer (CISO) – Global Asset Management – Permanent – HybridPioneer is exclusively engaged to recruit a Chief Information Security Officer (CISO) for a prominent global Asset Management firm. This role presents a...
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Chief Executive Officer
2 weeks ago
Charleston, West Virginia, United States PsychPros, Inc. Full timePosition Overview:We are seeking a qualified Chief Executive Officer who will provide strategic leadership and clinical guidance within our organization.Key Responsibilities:- Deliver clinical direction to enhance and validate current and new care models.- Collaborate closely with the Vice President, Director of Operations, and Family & Children's Services...
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Chief Psychiatric Officer
2 weeks ago
Charleston, West Virginia, United States Summit BHC Full timePosition Overview: Summit BHC is a leading provider of behavioral health services dedicated to delivering exceptional mental health care. We are seeking a Medical Director who will play a pivotal role in ensuring the highest standards of clinical excellence and operational efficiency within our facilities. The Medical Director will be tasked with overseeing...
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Chief Executive Officer, Ohio
1 week ago
Charleston, West Virginia, United States Facing History Full timeAbout UsAt Facing History & Ourselves, we believe in the power of education to transform lives. Our mission is to empower educators and students to create a more just and equitable world. We are dedicated to fostering a community where diverse perspectives are valued and every individual can thrive.Your RoleAs the Chief Executive Officer, you will play a...
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Senior Contract Manager
2 months ago
Charleston, West Virginia, United States WellSense Health Plan Full timeIt's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.Job Summary:The Senior Contract Manager is responsible for the development, implementation and management of a cost-effective provider network,...
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Chief Executive Officer and President
8 hours ago
Charleston, West Virginia, United States Industrial Asset Management Council Full timeAbout the RoleThe Industrial Asset Management Council is seeking a visionary leader to become its next President & Chief Executive Officer. As the top executive and administrative officer of the organization, the successful candidate will be responsible for planning, directing, and controlling all activities to achieve the Council's goals and objectives.Key...