- CVS Health (Scottsdale, AZ)
- …And we do it all with heart, each and every day. **Position Summary** As the Medicare Pharmacy Audit Programs Project Manager you will be responsible ... for administering Medicare Part-D Pharmacy Audit Programs . In this...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Prime Therapeutics (Phoenix, AZ)
- …passion and drives every decision we make. **Job Posting Title** Manager, Client Audit Services - Remote **Job Description** The Manager Client Audit Services ... department priorities as determined collaboratively with compliance leadership for client audit management (CAM). This position assists in the analysis, design,… more
- Prime Therapeutics (Phoenix, AZ)
- …Subject Matter Expertise in their areas of focus (Affordable Care Act, Medicare , Medicaid, Corporate Compliance, Compliance Assessment or Services etc.) + Develop ... employee and leadership expectations + May oversee and support audit action plans and/or corrective action plans for the...manage annual conflict of interest and code of conduct programs + Other duties as assigned **Minimum Qualifications** +… more
- Molina Healthcare (Chandler, AZ)
- …clinical nursing experience, with 1-3 years Managed Care Experience in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, ... Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health, … more
- Humana (Phoenix, AZ)
- …familiar with grant policies and regulations to comply with federally funded programs . + Ensure compliance of grant funded research. Develop and implement compliance ... that assure compliance with contract obligations. In case of an audit , coordinate with regulators, provide documentation and establish corrective action plans,… more