- LA Care Health Plan (Los Angeles, CA)
- …the Fraud, Waste, and Abuse (FWA) program, ensuring compliance with Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS), and ... emerging risks, and regulatory developments to proactively adapt investigative strategy and resource allocation. Develop dashboards, analytics, and reporting tools… more
- OhioHealth (Marion, OH)
- …Summary:** The primary focus of this role is to lead the contracting strategy , by developing, implementing, communicating, managing and monitoring the needs of the ... controls. I, In addition, this position contributes to the development of contracting strategy projects and captures and tracks program trends, a In this position,… more
- Ascendis Pharma (Princeton, NJ)
- …updates; evaluate their potential impact on government pricing, GTN impact, pricing strategy , and financial forecasts. + Serve as the primary point of contact ... + Deep expertise in US Federal and State Pricing Programs (Medicaid, Medicare , VA/DoD, PHS/340B) and related regulations. + Expertise in GP reporting systems… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …this role, you will become a subject matter expert on the overall price strategy and GTN discounting components for your portfolio products - including Medicare , ... presentations and forecast reviews, clearly articulating key performance drivers to senior leadership. + Develop financial/price modeling tools to ensure appropriate… more
- Morehouse School Of Medicine (Atlanta, GA)
- …of individuals and communities; * Increase the diversity of the health professional and scientific workforce; * Address primary health care through programs in ... and communities. + Increase the diversity of the health professional and scientific workforce + Address primary health care...well as serving as a connecting link between the senior management of MSM and members of CommonSpirit Health.… more
- CVS Health (Tallahassee, FL)
- …clinical oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare -Medicaid Plan) * Develop and lead clinical strategy and ... facing position to interact and collaborate with medical / physical professional associates, the local provider community, state regulatory agencies and advocacy… more
- Houston Methodist (Houston, TX)
- …the Director Case Management & Social Services RN position is responsible for strategy , function and operations of the Case Management & Social Work department. This ... discharge planning, progression of care, documentation of improvement, and Medicare Conditions of Participation. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures a… more
- ManpowerGroup (Maryland Heights, MO)
- …Controller - Healthcare Sector** Are you a seasoned healthcare finance professional with a passion for operational excellence and regulatory compliance? Our ... & Regulatory Oversight:** + Maintain strict adherence to healthcare regulations, including Medicare , Medicaid, and other payer guidelines, as well as federal, state,… more
- WellSpan Health (Chambersburg, PA)
- …and a relentless commitment to patient-centered care. As a key member of the Senior Leadership Team, the CNO will shape the future of nursing across the hospital ... vision aligned with organizational priorities. Influence hospital and system strategy through active participation in executive forums and board-level discussions.… more
- Brockton Hospital (Brockton, MA)
- …standards applied by The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS). This role involves interpreting licensure, regulatory, and ... and as needed, presents reports on compliance activities, trends, and outcomes to senior leadership and governing bodies, while also serving as the subject matter… more