- 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
- ChenMed (Philadelphia, PA)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management… 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
- 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
- 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
- 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
- Caris Life Sciences (Irving, TX)
- …end-to-end payor enrollment process. This includes managing applications, ensuring compliance with enrollment requirements, and maintaining accurate records and ... enrollment requirements and regulations governing enrollment to ensure ongoing compliance . + Responsible for securing timely enrollment by submitting applications… more
- The Joint Commission (Oakbrook Terrace, IL)
- …and inductive reasoning skills to determine health care organizations' degree of compliance with applicable standards and functionality of care delivery systems. + ... based issues in health care in order to assess compliance and to identify opportunities for improving compliance...and Hospice care required. + Experience working in a Medicare Certified home health agency is required. + Ideal… more
- National Health Care Associates (Bloomfield, CT)
- …coordination of census, billing, and resident funds. Your work will ensure regulatory compliance and that resources are optimized to provide the best care for our ... approval + Accurately report billing and cash collection activity + Ensure full compliance of the resident fund ledgers + Perform month-end reconciliation of census,… more
