• Manager, Compliance - Remote

    Prime Therapeutics (Baton Rouge, LA)
    …Subject Matter Expertise in their areas of focus (Affordable Care Act, Medicare, Medicaid , Corporate Compliance , Compliance Assessment or Services etc.) + ... our passion and drives every decision we make. **Job Posting Title** Manager, Compliance - Remote **Job Description** The Compliance Manager works closely with… more
    Prime Therapeutics (04/19/25)
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  • Manager Rebate Pharmacy Operations

    Prime Therapeutics (Baton Rouge, LA)
    … with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid ... teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate...guidance. + Coordinates with external auditors for yearly SOC-1 audit . + Works directly with Director to fulfill OIG… more
    Prime Therapeutics (05/07/25)
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  • Physician Advisor - Utilization Management

    Ochsner Health (New Orleans, LA)
    …levels of care, coding), MCG / InterQual screening criteria, Medicare / Medicaid compliance , medical staff structure, policies and procedures + Physician ... as identified), support documentation and coding improvements and ensure organizational compliance in all areas. PAs facilitate communication across the patient care… more
    Ochsner Health (06/01/25)
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