- CVS Health (MA)
- …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... partnership with - and under the direction of - the health plan, Medicare Compliance Officer, and other team members, this position will help develop and… more
- Prime Therapeutics (Boston, MA)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy Network Consultant Sr ... pharmacy networks composition to assess network adequacy, contracting gaps and compliance with regulations + Represent Network Management department in audits and… more
- AccentCare, Inc. (Norwood, MA)
- Overview Hospice Care Consultant Location: Norwood, MA Position: Hospice Care Consultant Job ID: Position Type: Full-Time Remote/Virtual Position: No Coverage ... Area: Boston Metro Find Your Passion and Purpose as a Hospice Care Consultant Salary: 85,000-105,000 #AC-BSL Offer Based on Years of Experience esedical Sales… more
- Humana (Boston, MA)
- …Adhere to established guidelines and procedures to ensure consistency and compliance . **Potential Duties** + Advocate for our agile development approach and ... with the organization's strategy and long-term goals. + Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that… more
- CVS Health (MA)
- …and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business. + Conduct market ... pricing consultation and strategy in an evolving regulatory environment to ensure compliance . + Exercising sound business judgment to achieve proper balance between… more
- Humana (Boston, MA)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
- Baystate Health (Springfield, MA)
- …for leading the hospital's enterprise-wide strategies in **patient safety** and **regulatory compliance ** . Reporting to the **Chief Medical Officer (CMO)** , this ... of a system wide accreditation program to ensure continuous compliance with all federal and state regulatory standards (The...not limited to, functioning as an expert resource and consultant to the organization, as a liaison between the… more
- Point32Health (Canton, MA)
- …not limited to Dental, Vision, Durable Medical, Transportation, Hearing, and other Medicare supplemental benefits. The Manager of Vendor Oversight is responsible for ... the contractual performance and maintenance of the vendor to ensure compliance , performance, and accurate payment. Builds relationships with internal vendor business… more
- Takeda Pharmaceuticals (Boston, MA)
- …access analytics, including but not limited to; Pricing, Pricing Compliance , Government Price Reporting, Planning, Contract Administration, Rebates, Group Purchasing ... align cross-functional teams amongaccess, government pricing, legal, marketing and compliance operations + Leading Pricing Governance Committee, Contract Assessments,… more
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