- UPMC (Pittsburgh, PA)
- …pricing information is conducted. Ensures timely communication to directors for policy changes ( contract administration) and implementation of approved and ... the organizations objectives in accordance with UPMC policies and all regulatory agencies. Responsibilities include the management of operations, quality management,… more
- V2X (Fort Worth, TX)
- …Assurance: Perform process-based performance assessments to ensure compliance with contract criteria and applicable regulatory requirements. This includes: ... The IEH&S Manager is responsible for administering Aviation Industrial Environmental, Health & Safety Programs in accordance with all applicable federal, state,… more
- Penn State Health (Camp Hill, PA)
- …Eligibility for shift differential pay based on the terms outlined in company policy or union contract ._ _All individuals (including current employees) selected ... **Penn State Health ** - **Holy Spirit Medical Center** **Location:** US:PA:...and providing feedback on patient outcomes. Maintain awareness of regulatory requirements and facilitate organizational compliance. Serve as coordinator/educator… more
- Parker Hannifin Corporation (Elyria, OH)
- …Ensures contract provisions are clear and conform to company policy . 5. Investigates and resolves claims or complaints by collecting and analyzing ... principles, industry practices, regulations, and policies. Knowledge of legal and regulatory requirements related to contract administration and government… more
- Centene Corporation (Jefferson City, MO)
- …regulator and client requests with timely, accurate responses aligned to relevant policy + Ensure Health Plans understand EPSRM expectations for activities ... with executive leaders + 3 years of experience with government sponsored health plan operations and associated regulatory and contractual requirements or… more
- Novant Health (Charlotte, NC)
- What We Offer Novant Health Business Development & Sales team develops strategies, negotiates, and maintains over $10B annual operating revenue from commercial, ... Medicare Advantage and Managed Medicaid, contracts across all Novant Health markets. The current portfolio also includes value-based arrangements with virtually… more
- Fallon Health (Worcester, MA)
- **Overview** **About us:** Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in ... 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually...information to ensure appropriate action is initiated to meet regulatory bodies' standards and to maintain the quality and… more
- Centene Corporation (Austin, TX)
- …Leads Duals compliance projects or implementations. + Reviews and synthesizes Duals regulatory requirements and create policy and/or position statements. + ... to ongoing Duals compliance monitoring activities. + Partners with Duals Manager and health plans in managing relationships with regulatory agencies and seek to… more
- NBT Bank (Norwich, NY)
- …experience, preferably within a large financial institution, major law firm, or regulatory agency. + Demonstrated expertise in contract negotiation, technology ... to ensure contracts align with enterprise risk policies and regulatory expectations. + Maintain contract screening and...: Includes employer contributions to HSA for High Deductible Health Plan participants. + Dental and Vision Coverage :… more
- Centene Corporation (Jefferson City, MO)
- …monitoring activities + Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....and compliance projects or implementations + Review and synthesize regulatory requirements and create policy and/or position… more