- LifeCenter Northwest (Bellevue, WA)
- …serves as an organizational leader as a member of the Extended Senior Leadership team. ESSENTIAL JOB FUNCTIONS Leadership Responsibilities + Develops and leads ... and/or local laws and/or regulations, including those of the Center for Medicare Services (CMS), Uniform Anatomical Gift Act (UAGA), compliance with the Association… more
- The County of Los Angeles (Los Angeles, CA)
- …procedures concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... and review methods as necessary. Oversees audits and the implementation of audit recommendations for programs managed. Represents managed programs in meetings with… more
- CaroMont Health (Gastonia, NC)
- …and Access. + Experience working in reimbursement in a hospital, Medicare Administrative Contractor (MAC), and/or a professional audit or consulting firm ... opportunities for improvement. The analyst collaborates with department leaders and senior management to deliver accurate and timely statistical and productivity… more
- Ascension Health (Jenks, OK)
- …disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and ... in health-care quality, population health, or a payer-side HEDIS audit /abstraction role strongly preferred. + Demonstrated experience with the auditing/abstraction… more
- LA Care Health Plan (Los Angeles, CA)
- …and Culture: Serve as a trusted advisor and subject matter expert to senior leadership, the Compliance Committee, and the Audit Committee on investigative ... and Abuse (FWA) program, ensuring compliance with Centers for Medicare and Medicaid Services (CMS), Department of Health Care...benefits including + Paid Time Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision… 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