-
Risk Manager
5 days ago
City of Reno Reno, United StatesClassification Description Summary · Under administrative direction, directs, manages, supervises, and coordinates the activities and operations of the Risk Management Program including loss analysis and prevention, insurance, worker's compensation, and safety programs and funct ...
-
Risk Manager
6 days ago
City of Reno Reno, United StatesRisk Manager · Print Subscribe · Class Title · Risk Manager · Class Code · 5760 · Salary · $111, $145,537.60 Annually · + Definition · + Benefits · Classification Description Summary · Under administrative direction, directs, manages, supervises, and coordinates the ac ...
-
Risk Management Analyst
6 days ago
Renown Health Reno, United States**Healthcare experience highly preferred · Position Purpose · The Risk Management Coordinator proactively identifies areas of patient safety exposure and quality concerns, and coordinates the reporting of such data to appropriate entities for analysis and action to reduce the l ...
-
Manager, Compliance and Risk Management
1 week ago
Foundations for Living Reno, United States Full timeResponsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen inte ...
-
Risk Management Analyst
1 week ago
Aurora Innovations Mountain City, United StatesOur mission: What's next? · The world of mobility is changing rapidly, but one thing is certain: people love cars. With innovative services, sustainable solutions, and unconventional ideas, we save time and money for our customers. We value openness and quality, both internally a ...
-
Risk Adjustment Submissions Manager
6 days ago
Universal Health Services Reno, United StatesProminence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to stre Manager, Business Operations, ...
-
Relationship Mgr I
1 day ago
PNC Financial Services Group Mountain Lakes, United StatesJob Profile · Position Overview · At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where ...
-
Project Manager, Life Sciences, Us
5 days ago
BD Sparks, United States**Job Description Summary**: · We are** the makers of possible** · BD is one of the largest global medical technology companies in the world. Advancing the world of health is our Purpose, and it's no small feat. It takes the imagination and passion of all of us—from design and en ...
-
Demand Planner
3 days ago
Apex Tool Group Sparks, United StatesApex Tool Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status._ · **Demand Plann ...
-
Financial Planning
1 day ago
BD Sparks, United States**Job Description Summary**: · We are** the makers of possible** · BD is one of the largest global medical technology companies in the world. Advancing the world of health is our Purpose, and it's no small feat. It takes the imagination and passion of all of us—from design and en ...
-
HR Specialist
5 days ago
Vallarta Supermarkets Carson, United States**Title: Store HR Specialist.** · **Classification**:Non-Exempt.** · **Reports To: HR Supervisor.** · **Pay Rate Range: $ $25.00.** · The compensation range provided is in compliance with state specific laws. Factors that may be used to determine your actual rate of pay include y ...
-
Medical Director
6 days ago
Renown Health Reno, United StatesPosition Purpose This position is responsible for clinical and medical administrative leadership for Value Based Care initiatives and programs specifically designed for Renown Medical Group and any potential affiliates and partners. In partnership and collaboration with RMG clini ...
-
Safety Manager
5 days ago
Fortis Construction Inc Reno, United StatesJob Description: · The Safety Manager is responsible for developing a safety culture on the project which anticipates construction risk and avoids or mitigates hazards to prevent injury to personnel or damage to the structure. A safety manager's day involves promoting, developing ...
-
Engineering Project Manager
6 days ago
Generac Reno, United StatesGenerac Clean Energy Solutions is looking for a highly motivated technical program manager to manage new/exsiting engineering projects for clean energy solutions. You will be immersed in the design engineering process and will shepherd projects from concept through to prototype v ...
-
Violence Prevention Program Manager
1 week ago
Renown Health Reno, United StatesPosition Purpose The Violence Prevention Program Manager responsibilities include leading and supporting the Violence Prevention Committee which is responsible for the overall direction, coordination, implementation, execution, control and completion of specific projects and educ ...
-
Reliability Manager
5 days ago
Mars, Incorporated Reno, United StatesReliability Manager. The Reliability Manager has responsibility for managing and improving operational risks, equipment reliability and system integrity through the leadership of Maintenance and Engineering resources across the site. The Reliability Manager, Liability, Reliabilit ...
-
Project Controls Specialist
5 days ago
Westinghouse Electric Corporation Reno, United StatesProject Controls Specialist with expertise in the installation of EV infrastructure. The ideal candidate will be responsible for overseeing project schedules, budgets, and risk management processes to ensure the successful deployment of electric vehi Controls, Specialist, Project ...
-
Tar Area Lead
1 week ago
Marathon Petroleum Company LP Carson, United StatesAn exciting career awaits you · At MPC, we're committed to being a great place to work - one that welcomes new ideas, encourages diverse perspectives, develops our people, and fosters a collaborative team environment. · TAR Area Lead · Job Summary · The Marathon Petroleum Company ...
-
Director of Quality Management
1 week ago
PAM Health Reno, United StatesDirector of Quality Management & Infection Control (RN) · The Director of Quality Management is responsible for the management of efficient, cost effective operations of the performance improvement functions for the assigned PAM Health hospital(s). Coordination with hospital and ...
-
Project Controls Manager
1 week ago
American Battery Technology Company Reno, United StatesOVERVIEW · American Battery Technology Company (ABTC) is an integrated battery metals company with a unique value proposition with both primary and secondary leveraging new technologies. ABTC is uniquely positioned to increase the domestic US production of battery metals, through ...
Manager, Compliance and Risk Management - Reno, United States - Universal Health Services
Description
Responsibilities
Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two.
Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members.
Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc.
(UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships.Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.
Learn more at:
Job Summary:
The
Manager of Compliance and Risk Management
is responsible for managing and improving the Prominence Health Plan Compliance and Risk Management Program to assure compliance with State and Federal regulations for health plan products including Medicare Parts C and D, large- and small-group health plans, third-party administration, and other commercial health plan products.
The Manager of Compliance and Risk Management assists the VP, Compliance & Risk Management with oversight of the compliance and regulatory matters and is primarily responsible for overseeing the organization's operational areas.
This position serves as an internal consultant to management and staff regarding compliance with Federal and State laws and regulations (Centers for Medicare and Medicaid, Nevada Division of Insurance, Texas Department of Insurance, Florida Office of Insurance Regulation, and the Florida Agency for Health Care Administration) contract provisions, accreditation standards, and internal policies and procedures.
The Manager of Compliance and Risk Management will implement plan-wide initiatives, policies and processes related to the Compliance and Risk Management Program and be responsible for program implementation, risk assessment, incident reporting, reports creation, communications, education and training, auditing and monitoring, and corrective action planning.
This position reports directly to the VP, Compliance & Risk Management.Benefit Highlights:
Loan Forgiveness Program
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
SoFi Student Loan Refinancing Program
Career development opportunities within UHS and its 300+ Subsidiaries * More information is available on our
Benefits Guest Website:
About Universal Health Services:
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance.
During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.
Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S.
States, Washington, D.C., Puerto Rico and the United Kingdom.Qualifications
Qualifications and Requirements:
Bachelor's degree in business administration, healthcare administration, public administration, public health or other related field required; Master's degree preferred.
Minimum five years' experience in health insurance or health care.
Minimum two years' demonstrated successful experience and increasing responsibility in compliance, quality improvement, risk management, administrative and/or operational duties in health care, preferably in a management role in a managed care organization.
Experience with the U.S.DHHS Office of Inspector General compliance program guidelines, State and Federal laws, regulations, policies and practices for the administration of Medicare Advantage, Prescription Drug Plan, and compliance programs in a managed care organization.
Experience with risk management and quality improvement methodologies to comply with Chapter 641.5, Florida Statutes and Chapter 59A-12.012, Florida Administrative Code, (Internal Risk Management Program), and URAC compliance program, internal controls, quality improvement, and risk management standards.
Ability to effectively communicate in English, both verbally and in writing.Excellent computer skills. MS Word, Excel and PowerPoint proficiency.
Independent judgment and critical thinking skills required.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates.
UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.Avoid and Report Recruitment Scams
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS
and our subsidiaries.
During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email.
Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement.
We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
If you would like to learn more about the opportunity, please contact Bridget Gomez at:#J-18808-Ljbffr
Manager, Compliance and Risk Management professionals in Reno
-
Jed Siemon Garin
Student Architect
-
Lorraine Heit
Speech Language Pathologist
-
Samantha Schue
Food & Beverage Management, Admin, IT