- Tris Pharma (Monmouth Junction, NJ)
- …comprehensive checklist of monthly and quarterly reporting requirements for Federal and State programs including MDRP ( Medicaid Drug Rebate Program), Medicare ... have an opening in our Monmouth Junction, NJ facility for a Director , Market Access, OperationsThis position is responsible for managing the operational… more
- Aveanna Healthcare (Madison, WI)
- ** 20% Incentive Plan ** Position Overview The Area Executive Director (AED) is responsible for the administrative, operational, and leadership oversight of a ... primary location while overseeing the operations of up to 4 locations. The AED ensures...The AED ensures consistent compliance with all Federal and State regulations governing Home Health Care Agencies, adherence to… more
- Commonwealth Care Alliance (Boston, MA)
- …against internal and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. - Lead initiatives to ... operations , education, and performance improvement. The Provider Relations Director reports to the Sr Director of... and satisfaction. - Strong understanding of Medicare and Medicaid health plan operations , including regulatory and… more
- Universal Health Services, Inc. (Mcallen, TX)
- …program for the assigned hospital facilities. In coordination with the System Director of Plant Operations , assume responsibility for the development, ... agency requirements, including; The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), State and… more
- Prisma Health (Greenville, SC)
- …organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict with Physician's professional medical ... education to meet the requirements of the Physician's certification and/or state licensing board. Agrees to actively participate in non-revenue generating activities… more
- Johns Hopkins University (Baltimore, MD)
- …internal audit staff. Partners with department leadership: Chief Audit Officer, Executive Director Operational Audits, and Associate Director to manage the ... operating procedures congruous to the Office of Hopkins Internal Audits operations . Performs assigned duties in accordance with the accepted professional standards… more
- Shelter, Inc. (Arlington Heights, IL)
- …identify staff training needs. Carry out all duties as designated by the Residential Director . Program Oversight and Operations Oversee daily operations of ... JOB TITLE: Residential Supervisor REPORTS TO: Residential Director LOCATION: Shelter Youth & Family Services headquarters...and plays a crucial role in overseeing the daily operations and quality of services in the Transitional Living… more
- CareSource (Las Vegas, NV)
- …to medical director Collaborate with the Quality Improvement and Clinical Operations teams to prepare all requests for Independent External Review Participate in ... Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and… more
- San Francisco Health Plan (San Francisco, CA)
- …experience in Medicare and Medicaid health care plan industry and operations Specialized knowledge in state programs, regulatory compliance and antifraud ... Reporting to the Director , Compliance and Oversight, the Health Plan Audit...assist various departments in developing best practices in their operations in accordance with established policies and procedures. Provide… more
- Novartis Group Companies (East Hanover, NJ)
- …retail) Possess a strong understanding of Commercial payers, Medicare plans and state Medicaid in geographic region. Must live within assigned territory. ... Job Description Summary #LI-Remote The Associate Director , Access & Reimbursement, NPS (Novartis Patient Support) Cardiovascular, San Jose, CA is a remote &… more
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