- Humana (Indianapolis, IN)
- …Adhere to established guidelines and procedures to ensure consistency and compliance . **Potential Duties** + Advocate for our agile development approach and ... with the organization's strategy and long-term goals. + Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that… more
- Sutter Health (Sacramento, CA)
- …developer for ambulatory regulatory programs required by the Centers for Medicare and Medicaid Services (CMS), including the Merit-based Incentive Payment System ... (MIPS) and Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO)...latest CMS regulatory rules and data reporting requirements, ensuring compliance with all updates and revisions. Transforms regulatory program… more
- AdventHealth (Altamonte Springs, FL)
- …stakeholders, and with multiple outside consultants and experts. Acts as a consultant to leaders ensuring the Medicaid rate setting, payment, and reconciliation ... Care, DGME, IME, Psych, Rehab, 340B and more. Is an important internal consultant to CFOs and strategic executives, routinely helping find and implement solutions… more
- Baystate Health (Springfield, MA)
- …The **Vice President of Safety and Regulatory Affairs** is a senior executive responsible for leading the hospital's enterprise-wide strategies in **patient ... safety** and **regulatory compliance ** . Reporting to the **Chief Medical Officer (CMO)**...not limited to, functioning as an expert resource and consultant to the organization, as a liaison between the… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and physician practice members. The DCFO will work in conjunction with senior and affiliate organization leadership and various affiliate operating boards, as ... for two ACOs made up of VUMC and/or VHAN members that participate in the Medicare Shared Savings Program, with the potential to expand to a 3rd ACO. The DCFO… more
- Covenant Health Inc. (Lenoir City, TN)
- Overview Senior Risk Manager Full Time,80 Hours Per Pay Period, Day Shifts Fort Loudoun Medical Center is equipped with a team of more than 200 doctors in more than ... care to every patient, every time. Position Summary: The senior risk manager is responsible for the facility's risk...Mode and Effects Analysis). + Acts as resource, internal consultant , and educator for patient safety/risk management issues. +… more
- ChenMed (Houston, TX)
- …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 ... position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent...Act as a health coach, rather than just a consultant for sickness, by helping patients set short and… more
- ChenMed (Louisville, KY)
- …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 ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and… more
- Takeda Pharmaceuticals (Boston, MA)
- …reporting and compliance + Chair the Pricing Committee (comprised of senior leadership from sales,patient value & access, marketing, finance and legal) that is ... access analytics, including but not limited to; Pricing, Pricing Compliance , Government Price Reporting, Planning, Contract Administration, Rebates, Group Purchasing… more
- NJ Sharing Network (New Providence, NJ)
- …and New Jersey State Department of Health.) + Consults with hospital senior leaders/administration with NJSN leadership to ensure compliance with regulations ... Summary: The Hospital Development Specialist (HDS) performs as a donation consultant to hospitals. Responsible to develop, market, monitor and implement policies,… more
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