- Tris Pharma (Monmouth Junction, NJ)
- …and other financial analysis. Perform analysis of sales, returns, Medicaid data, Managed Care data, chargebacks, wholesaler inventories & fees, voucher programs ... immediate opening for a full-time permanent Accounting/Finance Revenue/Gross to Net Analyst - BrandSUMMARY:The Revenue/Gross-to-Net Analyst - Brand provides… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... scheduling / orchestration tools (Tidal Enterprise Schedule or equivalent), enterprise Managed File Transfer tool (Cleo Harmony or equivalent). Must be able… more
- Centene Corporation (Des Moines, IA)
- …; in particular HIPAA, and state regulations. **Preferred Skills:** + Knowledge of Managed Care and Medicaid + Reading Comprehension + Critical Thinking + ... in state of Iowa **Position Purpose:** With the Iowa Total Care Health Plan Compliance Team, you will assist in maintaining Centene Corporation's Compliance… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Nov 10, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 ... to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is...and communicate discrepancies * Works cross functionally with Formulary Compliance , Revenue Accounting, Gross to Net and Contracting to… more
- e CancerCare (Nashville, TN)
- …reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance , along with rate modeling ... Job Purpose: Contract Analyst will be responsible for analytic support related...and providers. Team member will work closely with the Managed Care department team in generating and… more
- Sutter Health (Sacramento, CA)
- …contracting process and ongoing contract relationship, including payer contract compliance efforts, for all Sutter Health affiliates and/or associates, including ... hospitals (acute, skilled nursing facilities, psychiatric and rehabilitation), surgical centers, ancillary services (home health and pharmacy), medical foundations, and Independent Physicians Association (IPAs). This involves requesting and reviewing claims… more
- MyFlorida (Tallahassee, FL)
- …(MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans. This OPS Medical Health Care Program ... 68900202 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 6,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… more
- T. Rowe Price (Baltimore, MD)
- …including regulatory, prospectus, client-directed, internal investment, and operational restrictions (" Compliance Restrictions") for portfolios managed by T. ... River (CRD), and supports client reporting on these restrictions. The Investment Compliance Senior Analyst collaborates with, and provides information to a… more
- MyFlorida (Tallahassee, FL)
- …waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 12,...in the development of policy language for: the Medicaid managed care report guide, Medicaid contracts and… more
- CareFirst (Baltimore, MD)
- …**Experience:** 5 years experience in health insurance industry, managed care and government programs, health insurance compliance programs, or related ... Preferred or + Lean Six Sigma Certification-IASSC Preferred or + Certified Regulation Analyst Preferred or + Certified Compliance & Ethics Professional (CCEP)… more
