Director of Procedure - Los Angeles Metropolitan Area

Only for registered members Los Angeles Metropolitan Area, United States

4 weeks ago

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Job summary

The Director of Procedure will oversee the development and maintenance of Prior Authorization Job Aids procedures and related documents ensuring alignment with HPN regulatory Policies guidance in compliance with DMHC DHCS CMS NCQA requirements Health Plan contractual obligations.
This role develops maintains Prior Authorization training tools to assist staff improve performance consistency implementing new updated Policies Procedures reviewing audit results working collaboratively management develop tools trainings job aids communication tips support improved results measured audits customer feedback.
Key responsibilities include developing updating maintaining Prior Authorization compliance procedural training courses presenting trainings webinars-person reviews audit results collaborate works management develop tools trainings job aids communicate tips support improved results.
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