- Novo Nordisk Inc. (Plainsboro, NJ)
- …(eg, Managed Care, Non-Federal Hospitals, Long-Term Care, Medicare Part D, Medicaid (FFS & MM), Exchanges and Federal), including Diabetes, Biopharmaceutical and ... Director, Strategic Pricing and Contracting; Government Pricing Team; Market Access (VP, Directors and Account Executives); Pricing Committee and to a lesser degree… more
- Robert Half Legal (Alpharetta, GA)
- …role within the healthcare industry. The hire will be responsible for maintaining compliance with Medicaid and HIPAA regulations and overseeing enterprise risk ... within a healthcare or government contracting organization * Oversee the compliance with Medicaid and HIPAA regulations, as well as other applicable federal and… more
- Johns Hopkins University (Middle River, MD)
- …analysis, consultation, and reports to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS). Reviews provider ... questions and to clarify various billing concerns. Researches and resolves compliance issues. Maintain strict confidentiality of staff and patient information. Will… more
- Elevance Health (Tampa, FL)
- Job Description **Nurse Medical Management Sr .** **Preferred Location** : Florida. **This position will work 100% remote (with the exception of team meetings which ... miles of one of our Elevance Health PulsePoint locations. **Nurse Medical Management Sr .** Responsible to serves as team lead for nursing staff who collaborate with… more
- Humana (Tampa, FL)
- …for all enterprise partners + Drive Operational Quality Assurance efforts to ensure Medicaid compliance , including a Medicaid Compliance Committee, ... + Business Intelligence and reporting to state partners + Compliance for contractual obligations across all Medicaid ...of approximately 6 direct reports, including VPs, AVPs, and Directors with more than 200+ associates in the organization.… more
- Prime Therapeutics (Atlanta, GA)
- … Compliance Officer, Prime's senior leadership team, executives, Corporate Compliance Committee members and the Board of Directors ; collaborates across ... or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must...Reports to Sr Professional, Manager, Director or Senior Director in the Compliance department Potential… more
- Magellan Health Services (Albuquerque, NM)
- …the clinical vision for the health plan(s) for all lines of business ( Medicaid , Medicare and Commercial) and implements and manages programs to support this vision. ... The Senior Medical Director ensures the delivery of appropriate health...care. Monitors and oversees the work of the Medical Directors and Physician Advisors in providing cost-effective and quality… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and its programs remain compliant with Centers for Medicare and Medicaid Services (CMS), Organ Procurement and Transplantation Network (OPTN)/United Network for ... to monitor metrics and audit reports to ensure data integrity, policy compliance , and patient safety reporting both internally and externally, to appropriate… more
- UTMB Health (Galveston, TX)
- …reports to the Chair of Obstetrics and Gynecology with a dotted line to the Sr . VP of Ambulatory Operations of the UTMB Health System the Chair of Pediatrics. The ... **Scope:** **_Has direct oversite over day-to-day RWSP clinical practices operations, compliance , safety, and quality of care and process improvement_** **Essential… more
- DESC (Seattle, WA)
- …Responsibilities:** + In coordination with the Executive Director and other senior directors , assume responsibility for the planning, implementation, operation, ... Senior Director of Clinical Programs Seattle, WA (http://maps.google.com/maps?q=515+Third+Avenue+Seattle+WA+USA+98104) *Clinical Administration Apply Job Type… more
