- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening ... as a key liaison, proactively addressing provider needs, ensuring regulatory compliance , and supporting operational excellence to enhance provider satisfaction and… more
- Jobleads-US (Washington, DC)
- …a part of our caring community and help us put health first The Senior Configuration Professional - Workday Compensation configures the Workday HRIS based on ... with Compensation teams as well as other teams throughout Humana, the Senior Configuration Professional - Workday Compensation will understand the current… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** Under the direction of the Senior Contract Manager, Provider Contracting, the Senior Provider Contract ... contractual arrangements meet financial budgetary targets and legal and/or regulatory compliance requirements. + Maintain a solid understanding of Medicare and … more
- National Health Care Associates (Valley Stream, NY)
- …invite you to join our team! **-** **What You'll Do:** As a Senior Accountant, you will be responsible for overseeing various accounting functions, managing ... health and stability of our operations. **Key Responsibilities of a Senior Accountant:** + Manage day-to-day accounting operations, including accounts payable,… more
- Wipfli LLP (Milwaukee, WI)
- …+ Training, support or consulting advisory experience preferred. + Experience with compliance or professional standards associated with area of expertise ... they feel it. For those looking to make a difference and find a professional home, Wipfli offers a career-defining opportunity. Job Summary Under the direction of… more
- Wipfli LLP (Milwaukee, WI)
- …feel it. For those looking to make a difference and find a professional home, Wipfli offers a career-defining opportunity. Wipfli is seeking a highly experienced ... the latest governmental developments impacting the healthcare industry and ensure compliance with relevant regulations. + Build a trusted advisor relationship with… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …the State Departments of Health, Diabetes Prevention and Control Programs, Medicaid , public employee benefit administrators, Insurance Commissioner and other state ... diabetes or obesity advocacy groups and other health-related coalitions, professional associations, vendors, consultants, contract lobbyists and customers, as… more
- Commonwealth Care Alliance (Boston, MA)
- …network performance against internal and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. - ... provider operations and satisfaction. - Strong understanding of Medicare and Medicaid health plan operations, including regulatory and compliance requirements.… more
- City of Greenville (Greenville, SC)
- …a competitive benefits program. Ensures all employee benefits are administered in compliance with applicable regulations and policies. Maintains compliance and ... Health Clinic. Responds to external agency benefits survey requests. Supervises the Senior Benefits Analyst. Essential Functions Essential Functions % of Time Manage… more
- Commonwealth Care Alliance (Boston, MA)
- …preferred. Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program oversight and performance ... with common analytics tools such as excel - Ability to have a professional presence across internal and external stakeholders and across various levels and functions… more
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