- Sharp HealthCare (San Diego, CA)
- …of reducing accounts receivable. **Required Qualifications** + 2 Years experience in managed care and fee-for service reimbursement. + 2 Years experience with ... report payer trends whether questionable payment/denial practices occur to ensure regulatory requirements governing payer/provider relationships and the terms of the… more
- LEES MARKETPLACE (Vineyard, UT)
- …efficiently, counseling guests on prescription and over-the-counter medications, and ensuring compliance with all legal, regulatory , and company policies. The ... proper medication usage, dosage, interactions, and potential side effects. + Ensure compliance with all state and federal pharmacy laws and regulations (DEA, HIPAA,… more
- UnityPoint Health (Dubuque, IA)
- …focusing on improving outcomes, reducing unnecessary utilization, and optimizing healthcare resources. The director collaborates with clinical teams, operational ... recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in...Coordination department. + Ensures care and documentation align with regulatory standards (CMS/DNV). + Promotes a culture of service… more
- BeOne Medicines (San Mateo, CA)
- …plans. + Provide regulatory advice on appropriate relationships with healthcare professionals, patients, managed care entities, advocacy organizations, and ... some activity globally. This role supports our commercial, medical affairs, legal, healthcare compliance and other business functions primarily in the United… more
- Molina Healthcare (North Las Vegas, NV)
- …Public Health, Social Work, or related field. **Required Experience** + 5+ years of managed healthcare experience, including 3 or more years in one or more ... clinical highly preferred + 3+ years supervisory/management experience in a managed healthcare environment. + Medicaid/Medicare Population experience with… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- **Overview** **Scope of Responsibilities:** Responsible for all regulatory , compliance , and accreditation matters within HealthDirect. Oversees the development, ... + Partners with internal and external legal resources as needed to resolve compliance issues. + Keeps apprised of new regulatory developments by reviewing… more
- ExxonMobil (Santa Fe, NM)
- …consortium that works to enhance quality of life by improving infrastructure, healthcare , housing, education and workforce development. **What role you will play in ... our team** Join ExxonMobil as a Regulatory Affairs Advisor supporting the Permian Business Unit. Become... Analysis , and support Business Units in developing compliance plans when needed + Point of contact for… more
- Molina Healthcare (Covington, KY)
- …+ Accountable for ensuring compliance with contractual, accreditation and regulatory requirements for all Healthcare Services teams. + Participates ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and… more
- CVS Health (Columbus, OH)
- …policies and processes. The Senior Clinical Strategist will partner with legal, compliance , and regulatory affairs. They will support policy across product ... including a foundational understanding of project management principles as applied within a managed care or healthcare delivery setting + Proven track record in… more
- Healthfirst (NY)
- … Administration from an accredited institution + Analytical experience in a healthcare environment (such as managed care organization, commercial health ... + Performs first level review of all marketing materials to ensure compliance with State and Federal guidelines. + Prepares and submits marketing materials… more