- The County of Los Angeles (Los Angeles, CA)
- …as mentally ill. + Conducts the auditing of client records for compliance with documentation guidelines. + Participates in multidisciplinary team conferences and ... ins from clients regarding medication-related issues (ie medication side effects, pharmacy dispensing issues, refill needs) and consults with Psychiatrists and/or… more
- The County of Los Angeles (Los Angeles, CA)
- …direction to a staff of consultants; manage informal dispute resolution, compliance , and quality assessment and assurance monitoring processes; and handle informal ... supervisors and other personnel. + Monitors and evaluates program operations for compliance with licensure and regulatory standards. + Manages the administration of… more
- AssistRx (Orlando, FL)
- …+ Presents project statuses to executive team. + Works closely with Business Analyst to ensure that all documentation accurately reflects client needs and clearly ... File formats + Unique GUID's + Integrations + HTML + Specialty Pharmacy + Proven, hands-on experience successfully implementing SaaS and/or enterprise software… more
- Henry Ford Health System (Troy, MI)
- …and in a timely effective manner. + Serve as first line contact for A&G Analyst for day to day operational issues. + Function as a liaison with plan-wide ... Membership & Billing, Health Care Management, Coordinated Behavioral Health Management, Pharmacy Care Management, Claims, Provider Services, and Sales. + Partner… more
- State of Colorado (Pueblo, CO)
- …adjust them as indicated. Responsible for overseeing the accuracy of pharmacy orders. Communicates pertinent and appropriate health information to facility staff, ... for food allergy notification. Medical Quality Assurance, Reporting and Compliance .Direct and monitor quality assurance projects by reviewing medical documents… more
- Humana (Louisville, KY)
- …scorecards), Clinical Insights (population health, SDOH, behavioral health, pharmacy strategy, care management strategy), and Quality (withhold management, ... and NCQA accreditations). The leader may be a data scientist, financial analyst , economist, or other analytical professional; though experience in Medicaid or… more
- The County of Los Angeles (Los Angeles, CA)
- …as mentally ill. + Conducts the auditing of client records for compliance with documentation guidelines. + Participates in multidisciplinary team conferences and ... ins from clients regarding medication-related issues (ie medication side effects, pharmacy dispensing issues, refill needs) and consults with Psychiatrists and/or… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …rebate calculations and payment requests * Maintains and updates NCPDP and 340B pharmacy lists in Model N/Flex for claim validation * Reviews and approves contract ... rebates in various systems to ensure accuracy and contract compliance * Works in partnership with Contract Compliance...as they relate to Health Plans to assist in Analyst validations and impact * Advises branded business units… more
- State of Colorado (Pueblo, CO)
- …with clinical direction of nursing staff, QA/PI activities and to ensure compliance in all areas, and interdisciplinary collaboration. This position is accountable ... + Ensure all nursing assignments and duties are completed and in compliance with CMHIP policies and psychiatric and medical nursing standards, licensure requirements… more
- Wellington (Boston, MA)
- …our perspectives with those of our clients. **About the Role** POSITION This analyst role, working in collaboration with other analysts and managers of the global ... and external professionals, including those within the Product team, Legal & Compliance , Fund Services, and Tax, in researching internal information and regulatory,… more