- Abt Global Inc. (Rockville, MD)
- …execution and delivery. + Oversee administrative and fiscal operations, ensuring compliance with funding requirements and efficient resource allocation. + Manage ... government stakeholders. + Ensure alignment of project goals with Medicare and Medicaid program and payment policy frameworks. **What...+ At least 5 years of experience working with Medicare , including Part D and Medicare Advantage,… more
- Christus Health (Santa Fe, NM)
- …collected meet all government-mandated procedures for Integrity and Compliance . Requirements EDUCATION: HS Diploma or equivalency required CERTIFICATION/LICENSES: ... recovery Knowledge of general hospital A/R accounts GENERAL/ORGANIZATIONAL COMPETENCIES: Quality/ Compliance : Achieves a standard of excellence with work processes… more
- US Renal Care (St. Hedwig, TX)
- …to patients as required by the ESRD Network Coordinating Council and Medicare . Work with staff to maintain chronological, thorough, and appropriate documentation in ... health care professionals practice act requirements. Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- …establish alternate sites of care to support patient options. + Possess expertise in Medicare policies and the variations within all parts of Medicare + Ensure ... local conventions when requested. + Ensure behaviors consistent with Healthcare Compliance guidelines Job Qualifications Education: A minimum of a Bachelors Degree… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program oversight and performance tracking - ... learn new systems and databases that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Demonstrated skills in Excel and PowerPoint -… more
- Commonwealth Care Alliance (Boston, MA)
- …with key healthcare providers, optimizing network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance ... with provider engagement, delegation partnerships, provider services, contracting, quality, compliance , medical management, and analytics teams to advance provider… more
- BeOne Medicines (Indianapolis, IN)
- …and administrative requirements in an efficient manner and will achieve full compliance with drug laws and regulations when representing BeOne's products to Health ... the change. + Successful completion of all product knowledge coursework, LMS/ Compliance Wire assignments + Performs all administrative functions required of the… more
- Organon & Co. (Plymouth Meeting, PA)
- …with Sales, Pricing, Market Access, Government Pricing, Finance, Legal, Audit, and Compliance to ensure contracts are accurate, compliant, and aligned with business ... The position plays a critical role in revenue protection, regulatory compliance , and operational efficiency. The ideal candidate should have strong analytical… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Experience or knowledge of behavioral health services ... in alignment with clinical licensure. - Strong understanding of Medicare , Medicaid (MassHealth), and dual-eligible program operations, including regulatory and… more
- BeOne Medicines (Albany, NY)
- …and administrative requirements in an efficient manner and will achieve full compliance with drug laws and regulations when representing BeiGene's products to health ... + Successful completion of all clinical training, sales training and eLMS/ Compliance Wire assignments. + Performs all administrative functions required of the… more
