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Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.
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Participates in NCQA accreditation and regulatory audit preparedness activities including preparing reports, narratives, graphs, charts, etc., updating policies and procedures, and / or participating in program committees.
Starting at $44,936.59 - $97,362.61 a year depends on education, experienceFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Lead strategy and direct development and implementation of project-specific database-related activities in collaboration with Data Sciences, Statistical Programming, and other stakeholders. Represent DSS in discussions with regulatory agencies and on Advisory Committees.
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The Opportunity This position provides immediate support to the Assistant Manager of Quality in monitoring plasma center processes to ensure overall compliance with CSL Operating Procedures, as well as all applicable local, state, federal requirements.
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Supports the Outpatient Surgical Management, LLC and CV Partners LLC through Board and/or committee participation, involvement in LLC projects and implementation/monitoring of LLC initiatives.
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Apply regulatory requirements to provide guidance and recommendations to project management; participate in monitoring and controlling HSE standards, applicable laws and regulations; and design and review a project plan or schematic to confirm compliance with all governmental regulations and Company/client requirements.
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Participates in the implementation of the unit specific Quality and Performance Improvement Plan, completes monitoring forms and reports findings to the Clinical Unit Supervisor and Nurse Manager.
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Adheres to the monitoring of and compliance with all licensing and regulatory agency guidelines including but not limited to JC, ACHA, OSHA, CMS, DCF, etc. Utilizes the nursing process of assessment, planning, implementation, and evaluation when delivering nursing care.
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Responsibilities include the architecture, engineering, design, implementation, operation, maintenance, regulatory compliance, and ongoing reliability of real-time data networks for the Energy Management System (EMS), Distribution Management System (DMS), Generation Management System (GMS), Supervisory Control & Data Acquisition (SCADA), Field Area Networks supporting line switching & advanced Smart Grid functions, and encryption technologies used to support those networks.
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This position will play a key role in implementation of product Hardware and Software. · 5-7 years of IT engineering leadership experience at a Financial Firm with regulatory environments is a plus.
$150,000 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Possess CISSP certification (or similar) and be knowledge ofnational and international regulatory compliances and frameworkssuch as ISO, SOX, BASEL II, EU DPD, HIPAA, and PCI DSS. Our location in Abbott Park, IL or St Paul, MN currently has anopportunity for a Manufacturing Security Monitoring Tool Analyst, as amember of the Cybersecurity Enterprise Architecture team.
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Responsible for administration of technology solutions as well as the Operational Risk Event, Third Party Risk Management, and Loss Monitoring programs. Skill(s): Knowledge of operational and enterprise risk management including identification, assessment, and escalation of risk issues, Ability to track and coordinate large, complex processes, Knowledge of regulatory guidance pertaining to enterprise and operational risk as well as risk control frameworks, PC Skills including Microsoft Visio, Excel, and PowerPoint.
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In partnership with the Nurse Manager, ensures delivery of quality services by overseeing the department's compliance with regulatory requirements, adherence to policies and procedures and lading continuous processimprovement and risk management efforts.
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Alignment with Regional General Managers monitoring CSI and SSI objectives and process implementation. May also be asked to represent the company on a wide range of issues that include industry-related events, governmental regulatory and legislative initiatives, social and environmental questions and challenges, philanthropic responsibilities, and dealer and customer relations.
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The Provider Operations Business Analyst will be responsible for performance monitoring, research, analysis, development, implementation and coordination of Provider Operation's initiatives and related projects to ensure the highest integrity of HMSA's Provider Network data, credentialing, directories, and related operational functions.
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