- The Cigna Group (Franklin, TN)
- ** Legal Compliance Advisor ** Working cross-functionally with Compliance , Legal , Government Affairs and business stakeholders, this role will be ... accountable for EviCore's Medicaid Compliance program and processes, applicable state...laws and regulations + Ability to engage strategically with legal and business resources to support accurate and effective… more
- The Cigna Group (St. Louis, MO)
- …existing functionality + Review and provide direction on CMS regulations to maintain compliance , partnering with Legal and Compliance + Communicate strategic ... **Product Management Senior Advisor - Medicare Solutions, Express Scripts** **Description of...capabilities are compliant with the Center for Medicare and Medicaid Services (CMS) regulations, lead implementation of enhancements, provide… more
- The Cigna Group (Bloomfield, CT)
- …Recruits and retains network of enterprise resources and collaborates with Client Audit, Compliance , Legal and other stakeholders to respond to State, Center for ... **Overview** The Senior Advisor Regulated Markets Audit Management role is responsible...Medicare and Medicaid Services (CMS) and Client audit requests. **Key accountabilities… more
- LA Care Health Plan (Los Angeles, CA)
- …and continuous improvement of the Fraud, Waste, and Abuse (FWA) program, ensuring compliance with Centers for Medicare and Medicaid Services (CMS), Department of ... behavior involving employees, delegated entities, providers, or vendors. Partner with Legal , Compliance , and Human Resources on sensitive internal investigations… more
- Providence (Irvine, CA)
- …you'll ensure timely responses to client needs while upholding high standards of legal support and compliance . **What You'll Do** + Advise business clients ... Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and EMTALA. + Draft and...legal affairs. + Prepare, draft, and review critical legal documents, ensuring compliance with statutes, regulations,… more
- Ascendis Pharma (Princeton, NJ)
- …finance, procurement, legal , and contracting partners. Serve as a trusted advisor on contracting and pricing matters, providing guidance and support as needed. ... Operations plays a critical role in driving operational excellence, compliance , and financial performance through effective management of contracting operations.… more
- Independent Health (Buffalo, NY)
- … with rebate contracts. + Assist with preparation of Medicare and Medicaid compliance reporting of manufacturer rebate information, including DIR reporting ... of existing and prospective clients. They will work collaboratively with Legal to execute all drug manufacturer contracts, addendums, and amendments.… more
- Independent Health (Buffalo, NY)
- …ensure compliance of rebate contracts. + Assist with Medicare and Medicaid compliance reporting of manufacture rebate information including DIR reporting to ... of existing and prospective clients. They will work collaboratively with Legal to execute all drug manufacturer contracts, addendums and amendments.… more
- WellSpan Health (York, PA)
- …laws, hospital/physician issues, complex contract negotiation and management, Medicare/ Medicaid reimbursement issues, regulatory compliance , patient issues, ... staf, developing and overseeing the OGC budget, and providing legal advice and counsel to WellSpan Health board members,...outside counsel. + Serves as a trusted and strategic advisor to WellSpan Health, hospital and service line leadership.… more
- Waystar (Atlanta, GA)
- …strategic advisor and consultant to designated client groups, including Legal and Client Operations & Transformation, while providing matrixed support to Finance ... YOU'LL DO** **Strategic Partnership** + Act as a trusted advisor to leaders in Legal and Client...a point of contact for employee relations matters, ensuring compliance with federal, state, and local laws. + Promote… more
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