- Humana (Louisville, KY)
- …while considering risk tolerance and associate impact + Regularly communicate with senior leadership team regarding policy and audit findings + Responsible ... + Solution for M&A integrations + Review and recommend changes to Humana's Reimbursement and travel policy to drive compliance, control cost and reduce fraud, waste… more
- Ascendis Pharma (Princeton, NJ)
- …government pricing programs, GTN forecasting and analytics, and the pharmaceutical reimbursement landscape. Requirements Key Responsibilities + Lead the GTN efforts, ... and maintenance of SOPs, assumptions documentation, and procedural controls to ensure audit readiness and policy alignment. + Manage reviews and approvals of monthly… more
- Ascendis Pharma (Princeton, NJ)
- …deep understanding of US government pricing programs, and the pharmaceutical reimbursement landscape. Key Responsibilities + Lead the end-to-end government pricing ... and maintenance of SOPs, assumptions documentation, and procedural controls to ensure audit readiness and policy alignment and serve as SME for government pricing… more
- Catholic Health Initiatives (Lufkin, TX)
- …responsibility and stays current with respect to government payer reimbursement methodology changes (ie Traditional Medicare /Medicaid/Tricare). + Other ... performance of the service lines. * Make recommendations to Senior Management for action to improve such vulnerabilities and...+ Develops and prepares routine and special Finance and Audit Reports as needed. + Analyzing and interpreting data,… more