38 director network compliance jobs found

Become a part of our caring community and help us put health first Encounter Data Management Professional is responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by applying professional standards, regulations, and strategies within their work area. Independently sets priorities and makes decisions on work approach while following established direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data Management Professional that has experience with business processing and data...

Responsibilities & Qualifications RESPONSIBILITIES Provide oversight and supervision of Identity and Access Management (IAM) services to ensure the confidentiality, integrity, availability, and non-repudiation of sensitive and classified information systems. Serve as a Cybersecurity Subject Matter Expert (SME) in Identity and Access Management, advising on all associated cybersecurity policies, standards, and procedures. Lead and mentor IAM analysts, providing direction, task prioritization, and performance oversight. Oversee implementation and enforcement of access control policies in alignment with Department of Defense (DoD) Identity, Credential, and Access Management (ICAM) strategy and guidance. Ensure compliance with DoD Instruction 8520.03, Identity Authentication for Information Systems , validating appropriate access authorization to systems, data, and network resources. Manage and coordinate user identity lifecycle operations, including...

Job Description Position Summary The Director of Quality Management leads Vertiv's global quality initiatives, ensuring the highest standards of reliability, safety, and performance across products and services for data centers, AI platforms, and mission-critical infrastructure. This executive role develops and executes quality strategies, drives continuous improvement, and collaborates with engineering, manufacturing, and operations teams to maintain Vertiv's leadership in operational excellence. The Director mentors quality leaders, enforces compliance, and fosters a culture of accountability, innovation, and customer focus. Key Responsibilities Develop and implement global quality management strategies and programs. Lead quality assurance, process improvement, and compliance initiatives. Collaborate with engineering, manufacturing, and operations teams to ensure product and service quality. Mentor and develop quality leaders and teams across global operations....

Job Description Position Summary The Director of Quality Management leads Vertiv's global quality initiatives, ensuring the highest standards of reliability, safety, and performance across products and services for data centers, AI platforms, and mission-critical infrastructure. This executive role develops and executes quality strategies, drives continuous improvement, and collaborates with engineering, manufacturing, and operations teams to maintain Vertiv's leadership in operational excellence. The Director mentors quality leaders, enforces compliance, and fosters a culture of accountability, innovation, and customer focus. Key Responsibilities Develop and implement global quality management strategies and programs. Lead quality assurance, process improvement, and compliance initiatives. Collaborate with engineering, manufacturing, and operations teams to ensure product and service quality. Mentor and develop quality leaders and teams across global operations....

Job Description Position Summary The Director of Quality Management leads Vertiv's global quality initiatives, ensuring the highest standards of reliability, safety, and performance across products and services for data centers, AI platforms, and mission-critical infrastructure. This executive role develops and executes quality strategies, drives continuous improvement, and collaborates with engineering, manufacturing, and operations teams to maintain Vertiv's leadership in operational excellence. The Director mentors quality leaders, enforces compliance, and fosters a culture of accountability, innovation, and customer focus. Key Responsibilities Develop and implement global quality management strategies and programs. Lead quality assurance, process improvement, and compliance initiatives. Collaborate with engineering, manufacturing, and operations teams to ensure product and service quality. Mentor and develop quality leaders and teams across...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Network Management Consultant - Remote Job Description The Network Management Consultant is responsible for development, performance and management of Prime's retail, mail, specialty, and quality-based networks aligning with Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies. This includes development of network contracts, participation requirements, analysis of pharmacies, and ensuring contract and regulatory compliance. This position is accountable for creation and management of specialty fee schedules to ensure competitiveness and serves as the liaison between Prime's Network Management and Specialty teams. Responsibilities Negotiate market competitive high-profile and/or complex...

Work at Home - Decision Quality and Controls, Principal Process Manager Decision Quality and Controls is the face of Monitoring and Controls for Customer Protection. We take Quality monitoring to the next level by designing controls that are criteria based targeting key failure modes and testable meeting Enterprise Standards. We are looking for a process engineer with expertise in Data and Reporting that will fast track us into automation. In this role you will partner with key stakeholders across Retail Bank Fraud to automate and enhance dashboards, processes and reporting and craft compelling stories backed by data. What We're Looking For In This Role: Drive forward strategy for execution of controls support including process assessments and enhancements, make recommendations and influence change Leads, influences, and mentors associates within a dotted line team through large and/or complex process or projects with significant impact, delegating and...

Director of Programs and Evaluation (Executive Advisor III) (U) (Vacancy) Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/5177978) Apply ? Director of Programs and Evaluation (Executive Advisor III) (U) (Vacancy) Salary $42.64 - $63.94 Hourly Location Varies by position Job Type Full-time Funding Limitation Job Number 25-0108-V2 Department 40 Mayor Division Office of CelebrateOne Opening Date 12/22/2025 Closing Date 1/5/2026 11:59 PM Eastern Description Benefits Definition Position Summary The Director of Programs & Evaluation provides strategic leadership and oversight for all programmatic and evaluation-related activities across the organization and collective impact network. The role ensures that programs are effectively planned, implemented, monitored, and evaluated to achieve meaningful improvements in birth outcomes in Franklin County. The Director will supervise program managers and staff across...

We're Grön (pronounced like grew-n, Swedish for green). We craft the most delicious cannabis edibles on the planet. As a leading North American brand, we're dedicated to high-quality products that cater to our diverse customers. Driven by innovation, sustainability, and community, we create our edibles with care. Founded in her basement, chocolatier and mother Christine Apple started Grön in 2015, and has since grown the company into a team of over 200+ passionate individuals in 8 different markets (and counting). We hold ourselves to the highest standards of quality and professionalism as we serve millions of customers worldwide. Every team member is expected to contribute to our mission with dedication and teamwork, crafting our gummies and chocolates with love for the community. At Grön, we operate first by our Mission & Values: we win with dignity and grace , we only deliver excellence , we embrace transformation. We believe all Grön employees should embrace and...

Job Description Oracle's Global Physical Security (GPS) Systems Team is responsible for securing the corporation's global datacenter and facility footprint through advanced Physical Access and Identity Management (PIAM) technologies. We are seeking a seasoned Technical Program Manager (TPM) for Wireless Intrusion Detection Systems (WIDS) who will own the end-to-end lifecycle of enterprise wireless detection, monitoring, and counter-surveillance solutions for a complex and global security environment. Reporting to the Director, Physical Security Products & Services, you will lead the technical roadmap, policies, education, and integrations necessary for WIDS excellence-partnering closely with security operations, engineering, data center operations, and end-user groups. Responsibilities Product & Program Ownership Own the lifecycle management, standards, and feature evolution for all Wireless Intrusion Detection Systems (WIDS), including integration with...

THIS IS A FULL TIME TRAVELING POSITION WHERE THE INITIAL PROJECT IS IN LEXINGTON, KY. A MONTHLY PER DIEM OF $5,000 IS PROVIDED TO COVER TRAVEL AND LODGING COSTS FOR YOURSELF. Job Title: Construction Project Engineer Job Description Join our team as a Construction Project Engineer, where you will lead dynamic construction projects to successful completion - ensuring safety, timeliness, and budget adherence. Your first project will be a two-year, $60 million ground-up construction of a new addition to a pharmaceutical manufacturing campus. This role offers a competitive salary with the opportunity for overtime. You will be instrumental in guiding engineering, construction management, and superintendent teams in collaboration with the Project Director and/or Senior Project Manager. Responsibilities Provide technical, administrative, and subcontractor management support to Project Managers and Project Directors. Coordinate development and maintenance of execution...

The Manager, Facilities Operations Engineering Commissioning will be responsible for the oversight of commissioning, continuous improvement, and developmental support for sites in a geographic region. This role will provide assistance with commissioning-related engineering, including the coordination, installation, and integration of connectivity, network infrastructure, security, life safety, other building subsystems and finishes, transformers, electrical switchgear, UPS (Uninterrupted Power Supply), STS (Static Transfer Switch), PDU (Power Distribution Unit), electrical distribution equipment, Chillers, water loops/components, Cooling distribution equipment, Electrical Power Monitoring Systems, and Building Management and automation systems. The position requires project planning abilities coupled with leadership through influence and a proactive partnership approach. The ideal candidate will bring experience in electrical and mechanical systems, along with an understanding...

Senior Manager, Sourcing Location: Remote, United States Description Dodge Construction Network (Dodge) is searching for a Senior Manager, Sourcing to join our team!TheSenior Manager,Sourcingis responsible for driving Dodge'sdata acquisition strategy, including digital sourcing and supplier management. This roleleadsthe sourcing of high-value construction project data from all stages of the construction lifecycle for public and private sources, including web-scraping, external data partnerships, Construction groups and associations, FOIA pipelines, and targeted outreach to construction stakeholders. The SeniorManager,Sourcingwill define and balance sourcing strategy, ensure ongoing quality and consistency of the data being collected, andpartnercross-functionally with Content Operations, Product, and Engineering to support scalable coverage and growth. This is a full-time position and reports directly to the Director,Data Acquisition. Preferred Location This is a...

Job Summary JOB DESCRIPTION As a member of the Global Services team and a partner to the Regional Services Leaders/Teams, the Sr. Manager, Operational Excellence (Global Services) , oversees the successful design and implementation of a portfolio of high-priority, high-impact Company initiatives to streamline processes, accelerate growth and profitability. This position requires significant collaboration across business functions and all levels of staff including senior executives, business leaders and subject-matter-experts. Key areas of focus include driving the identification and execution of strategic initiatives (Productivity (VOS), Service Operating system, Digital Service implementation, IT system rationalization), driving consistency and enabling the overall Global reporting to monitor and review business performance. The incumbent will be expected to lead cross-regional actions across Service operations and support functions. This is a hands-on role, where a...

Job Summary JOB DESCRIPTION As a member of the Global Services team and a partner to the Regional Services Leaders/Teams, the Sr. Manager, Operational Excellence (Global Services) , oversees the successful design and implementation of a portfolio of high-priority, high-impact Company initiatives to streamline processes, accelerate growth and profitability. This position requires significant collaboration across business functions and all levels of staff including senior executives, business leaders and subject-matter-experts. Key areas of focus include driving the identification and execution of strategic initiatives (Productivity (VOS), Service Operating system, Digital Service implementation, IT system rationalization), driving consistency and enabling the overall Global reporting to monitor and review business performance. The incumbent will be expected to lead cross-regional actions across Service operations and support functions. This is a hands-on role, where a...

Data Governance Manager Location: Remote, United States Description The DataGovernance Manager owns Dodge's Standard Operating Procedure (SOP) ecosystem, ensuring operational documentation remains current, compliant, and accessible across the Content organization. This role serves as the central point of coordination for SOP lifecycle management-working with subject matter experts, team leads, and managers to schedule reviews, maintain version control, and promote consistent adoption of best practices. This is a full-time position and reports directly to the Sr. Manager, Operational Performance Management. Preferred Location This is a remote, home-office based role and candidates located in the continental United States will be considered.For this position, there is a preference to hire in Easterntimezone, however candidates in other area/time zones would be considered as well. Travel Requirements Expected travel is minor for this role. Essential...

Summary: Meta is a global leader in terrestrial and subsea network investment. Meta is continuously expanding our network infrastructure around the Globe to support our data centers, our fast growing user community and the new and innovative products that we are making available for our users. Developing, operating and managing network infrastructure the "right" way is synonymous with ensuring on-time delivery, high uptime, capacity availability, flexibility and capital cost efficiency in a safe and compliant working environment. Meta is seeking an environmental compliance program manager to manage environmental due diligence, permitting, and compliance for our fiber optic cable infrastructure portfolio. This position will primarily support the NORAM region to oversee and mitigate environmental risks for terrestrial network projects and coordinate with cross-functional teams, including network investments, construction and operational teams, legal, policy and communications....

Summary The VA Northeast Ohio Healthcare System is recruiting for a Clinical Pharmacy Specialist. The Pharmacist Program Manager for information systems is responsible for assessment, design, integration, modification, maintenance and analysis of data, data management services, networking, and computerized medical record for Pharmacy Service to assist and support Pharmacy Service managerial decision making. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Federal employees - Competitive service Current federal employees whose agencies follow the U.S. Office of Personnel Management's hiring rules and pay scales. Federal employees - Excepted service Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from...

Job Description Team Overview The Data Center Infrastructure Delivery team at Oracle Cloud Infrastructure is a dynamic group of professionals dedicated to delivering state-of-the-art data center facilities at scale and at pace. This team comprises experienced project managers who work collaboratively with vendors and internal teams to ensure the successful execution of complex data center construction and network projects. They bring a wealth of expertise in project management, technical design, and on-site construction, ensuring that our data centers meet the highest standards of quality, efficiency, and sustainability. This team plays a crucial role in supporting Oracle Cloud Infrastructure's data needs and driving our growth and success. Job Summary Strategically, you will be responsible for developing and implementing comprehensive plans that optimize efficiency, cost-effectiveness, and operational excellence in delivery. You will engage with key stakeholders,...

Current Employees and Students: Please log in to Workday to use the internal job search and application process. Scope of Department The Clinical Operations Department is responsible for all OSU Health Plan medical and pharmacy benefits and the development, execution, and evaluation of clinical programs that provide quality and cost-effective care to health plan members. Scope of Position This position serves as a Senior Patient Care Resource Manager for health plan nursing care management programs and reports to the PRCM Manager. The Senior Patient Care Resource Manager is responsible for delivering superior customer service and achieving clinical and operational excellence as it relates to the implementation and execution of OSU Health Plan medical/pharmacy benefits and clinical programs (i.e., Care Coordination, Enhanced Case Management, Buckeye Baby). The position is tasked with ensuring highly personalized, innovative and cost-effective services for all OSU Health...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Western Digital. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Company Description At Western Digital, our vision is to power global innovation and push the boundaries of technology to make what you thought was once impossible, possible. At our core, Western Digital is a company of problem solvers. People achieve extraordinary things given the right technology. For decades, we've been doing just that. Our technology helped people put a man on the moon. We are a key partner to some of the largest and highest growth organizations in...

Manager Senior Engineering Location: This role requires associates to be in-office 2-3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Manager Senior Engineering is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. How you will make an impact: Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider...

Vaccine Account Managers (VAM) collaborate with Pfizer partners to grow appropriate use of Pfizer Vaccines and the overall immunization rates of organized customers by identifying shared objectives, aligning resources and deploying innovative solutions to achieve targeted clinical and business results. This is accomplished through identifying, prioritizing, and managing opportunities to affect access, immunization practices, programs, education, and processes that will increase the appropriate use of Pfizer vaccines. A VAM's primary focus is to ensure access to the Pfizer vaccine portfolio by leading contract negotiations with assigned customers and to improve immunization rates through the development of productive relationships with key decision makers. Areas of customer focus include but are not limited to administrative and decision making roles of all levels at integrated health systems, large hospital systems, health insurance plans, state departments of health, county/city...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Account Manager - Remote Job Description The Account Manager provides information, analyses, and consulting to Health Plan and Prime senior management. The Account Manager supports senior management and Health Plan Markets teams in communications, client-facing initiatives, including a focus on managing projects and issue management. This role must establish and maintain relationships with designated client counterparts in the pharmacy department and other key client functions as determined by the Sr. Director/Director. Responsibilities Perform business analysis work for client-facing needs. Knowledge of PBM functions such as but not limited to customer service, claims, benefits, prior authorizations,...