- CVS Health (CA)
- …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... and under the direction of - the health plan, Medicare Compliance Officer, and other team members,...Medicare Advantage organization. + In partnership with other senior members of the team, assist with the oversight… more
- Baylor Scott & White Health (Sacramento, CA)
- JOB SUMMARY The Third Party Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance... Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and entities on … more
- Humana (Sacramento, CA)
- …customers at the center of everything it does. The Growth Strategy Consultant (Distribution) provides data-based strategic direction to identify and address business ... support for the Enterprise Growth vertical. The Long-term Growth Strategy Consultant 's work involves moderately complex assignments performed with limited direction… more
- Humana (Sacramento, CA)
- …caring community and help us put health first** Humana is seeking a Senior Responsible AI Data Scientist to champion the ethical development of artificial ... through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to… more
- MetroLink (Los Angeles, CA)
- …of federal, state, regional, and local funding + Responsible for assuring compliance with federal and state regulations and guidelines through timely execution of ... appropriate + Ensure high-quality work output of departmental and consultant staff + Establish, monitor, and reinforce department policies...environment, with an emphasis on grants administration at a senior level. + Minimum of five (5) years of… more
- J&J Family of Companies (Santa Clara, CA)
- …and experience working with KOLs, physician specialty societies, sales teams and senior management. Reporting directly to the Sr. Director of Market Access and ... corporate objectives and payer dynamics. + Serve as a senior leader within the Market Access team, contributing to...internal cross-functional leaders (eg, Sales, Marketing, Medical Affairs, Legal, Compliance ). + Serve as a key point of escalation… more
- Humana (Sacramento, CA)
- …Adhere to established guidelines and procedures to ensure consistency and compliance . **Potential Duties** + Advocate for our agile development approach and ... with the organization's strategy and long-term goals. + Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that… more
- Sutter Health (Sacramento, CA)
- …developer for ambulatory regulatory programs required by the Centers for Medicare and Medicaid Services (CMS), including the Merit-based Incentive Payment System ... (MIPS) and Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO)...latest CMS regulatory rules and data reporting requirements, ensuring compliance with all updates and revisions. Transforms regulatory program… more