- City of New York (New York, NY)
- …and employees on a variety of topics, including legal ethics, conflicts, privileges, federal grants, Medicare compliance , and outside employment. Division ... position of Assistant Corporation Counsel in the Ethics & Compliance Division. Attorneys with more than five years of...Senior Counsel position in the division. The Ethics & Compliance Division has counseling and ligation adjacent roles and… more
- Molina Healthcare (Tacoma, WA)
- …relative to Molina Medicare . The Director will participate with the Molina Medicare Compliance Committee. The Director, working with the MHI VP Compliance ... areas for Molina Medicare . Serves as Molina Medicare 's liaison to federal regulatory and plan..., is accountable to the Molina Medicare Compliance Committee for all Medicare compliance… more
- Centene Corporation (Cheyenne, WY)
- …home anywhere in the Continental United States.** **Position Purpose:** Supports the Medicare Communications Compliance team in the management of regulatory ... requirements associated with the Medicare materials and sales compliance . Participates the...related field required. + Some experience in State or Federal managed care compliance required. Pay Range:… more
- The Cigna Group (Bloomfield, CT)
- …position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This actuarial ... a designated full time support to Express-Script's external client's Medicare Part D business. This role will matrix with...Bid Development, Desk Review & Audits + CMS Regulatory Compliance / Reporting + Financial Reconciliation Modeling + Trend… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive ... collaboratively with both technical and non-technical staff including Underwriting, Medicare Product Development, Provider Contracting, Sales, and others across the… more
- The Cigna Group (Bloomfield, CT)
- …team. The leadership and strategic direction you'll provide will better educate our Medicare clients on the products we offer and give their members' access to ... role, you will serve as the primary contact for Medicare strategic initiatives and market development. You will become...in a manner that allows for consultation, idea generation, compliance consulting, and strategic support. This person needs to… more
- Humana (Palm Bay, FL)
- …caring community and help us put health first** Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ... the community through service, organizations, activities and volunteerism + Experience selling Medicare products + Bilingual with the ability to speak, read and… more
- Prime Therapeutics (Oklahoma City, OK)
- …our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** Manages the ... coordination of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership skills that ensure successful Part D pharmacy… more
- RWJBarnabas Health (Oceanport, NJ)
- …and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines. + Critically analyzes each Medicare inpatient medical record to ... sustain an excellent organizational average accuracy rate. Adherance to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines… more
- Commonwealth Care Alliance (Boston, MA)
- …reimbursement, public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Medical Coding, Compliance , Payment Integrity and Analytics ... under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing… more
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