- Penn Medicine (Philadelphia, PA)
- …life's work? **Summary:** + Under the general observation of the Associate Director of Pharmacy and the Outpatient Pharmacy Managers, the Ambulatory Regulatory ... technician will support the managers during in person audits, proactively audit claims for accuracy and support needed regulatory requirements. + The purpose of… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …pharmaceutical/biotech industry. The R&D Paralegal will possess excellent organizational, management , and interpersonal skills, and will provide legal support and ... based upon business needs. The R&D Paralegal will report to the Senior Director , Corporate Counsel in the Global Regulated Environments (GRE) Practice Group in the… more
- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... and implementation of educational programs for Denial Prevention and Management . Responsibilities - Establish and maintain positive relationships with patients,… more
- City and County of San Francisco (San Francisco, CA)
- …analytical excellence? Are you passionate about efficiency, risk mitigation, and have risk management experience in a municipal setting? If so, come join our team! ... and Compliance Manager oversees all aspects of the Airport's comprehensive risk management and compliance programs and manages a staff of Airport employees,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management ... and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge,… more
- Jacobs (Fort Lauderdale, FL)
- …to provide outstanding service and solutions to Clients * Keeps Global and Regional Management and Director (s) of Programs informed of and engaged in critical ... of, reviews and approves proposal/pricing, schedules and risk reserves. Engages Management , Program Director (s), legal, contracts and compliance in the… more
- Merck (North Wales, PA)
- **Job Description** **Associate Director Data Science, BIA Vaccines, US** The Associate Director Data Science BIA Vaccines will be responsible for developing and ... analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization… more
- Brookings (Washington, DC)
- …of contact for all supported benefit areas. This position reports to the Director of Benefits. Benefit Program Administration (35%) + Administer the full lifecycle ... (eg,ERISA, ADA, HIPAA, FMLA). + With oversight from the Director of Benefits, co-lead the planning and execution of...design and implementation of new offerings. Vendor & Systems Management (20%) + Manage relationships with third-party vendors and… more
- Florida Crystals Corporation (Baltimore, MD)
- …well as relevant consensus standards (eg, ANSI, NFPA). + Workers' Compensation Claims Management Experience. + Return-To-Work Program Management Experience. ... and processes across the plant. + Work with the management team and employees to instill a genuine culture...status reports regarding the safety program to the Corporate Director of Health & Safety and the Plant Manager.… more
- Otsuka America Pharmaceutical Inc. (Tulsa, OK)
- …care. The local "ecosystem approach" creates a unified focus among account management , medical, patient access and market access to engage local healthcare systems ... Business Lead will report to the respective Sr. Business Director (SBD) and be grouped into a regional area....ecosystem and integrate them into Otsuka through innovative account management processes. + Consolidate insights gathered from the field… more