- MyFlorida (Tallahassee, FL)
- …Analyst I and will assist with performing activities related to data analytics to identify fraud , waste, or abuse in claims data. The Program Integrity Unit was ... HEALTH INSURANCE FRAUD ANALYST I - 72004151 Date: Oct 24,...methodologies and relevant laws to find suspicious patterns in claims data and other sources. + Applies independent judgment… more
- Humana (Oklahoma City, OK)
- …into allegations of fraud , waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud ... first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid...transparency and accountability. You will report to the SIU Director and work closely with Humana's Oklahoma Market. **Key… more
- City of New York (New York, NY)
- …Admiralty payments in collaboration with the Direct and Deputy Director of Tort Claims . 8) Oversees Fraud Hotline phone and emails. 9) Review and reconcile ... public fiscal and public safety. Reporting to the Deputy Director of Tort Claims , with wide latitude...with respect to managing claim assignments and day to-day operations of the Affirmative Claims Division. 11)… more
- Otsuka America Pharmaceutical Inc. (Montpelier, VT)
- **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role ... and other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be… more
- Otsuka America Pharmaceutical Inc. (Concord, NH)
- The Director , Strategy & Analysis and Contract Operations is responsible for directing and conducting pricing analysis of government policy and evaluating ... strategy for pre-market products. In addition, this role directs all contract operations including being responsible for Gross to Net (GTN) forecasting, government… more
- IQVIA (Wayne, PA)
- Job Description Summary: **Associate Director Finance Operations ** Directs financial planning and accounting practices including budgeting, costing, financial ... **Essential Functions and Responsibilities:** + Responsible for **pharmacy prescription claims processing** , translating strategy into proactive plans to enable… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- …+ Direct Account Management CRM tool and process in collaboration with Sales Operations staff + Conduct all activities in compliance with all applicable local, state ... markets including understanding of all major payer segments, payer operations /financial drivers and budgets, formulary access management, coverage decision processes… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …manage all aspects of the commercial strategic sourcing and procurement services operations . The Associate Director of Commercial Strategic Sourcing has overall ... **Job Description** The Associate Director of Commercial Strategic Sourcing will lead and...business stakeholders. + Partners with Business Owners and Financial Operations , and other key process owners to ensure Sourcing… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …medical needs and nutraceutical products for the maintenance of everyday health. The Director , Employee Relations, will be a champion of Otsuka's culture and values ... consistent and equitable approach to employee relations issues. The Director will be a key member of the team...of the team tasked with leading best-in-class processes and operations that connect to our culture and values. The… more
- Otsuka America Pharmaceutical Inc. (Madison, WI)
- …our focus to ultra-rare neurological conditions. **Job Summary** The Executive Director , Sales and Marketing, Neurology Rare Disease will be responsible for ... or exceeding Net Sales, Operating Income, and engagement targets. The Executive Director , Sales and Marketing, Neurology Rare Disease will also ensure successful… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** The Director , Business Information Security Officer is responsible for providing leadership and operational oversight in safeguarding enterprise ... evolution of the enterprise-wide information security program. **Job Description** The Director , Business Information Security Officer leads a team in identifying… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …needs and nutraceutical products for the maintenance of everyday health. As a Director of Biostatistics, you will be a champion of Otsuka's culture and values ... biostatisticians for their career development. You will report to the Executive Director of Biostatistics. This position can be based in Princeton, New Jersey,… more
- Commonwealth of Pennsylvania (PA)
- …of County Audits. As an Assistant Director , you will assist the Director in overseeing day-to-day bureau operations and auditing processes. Within this role, ... Assistant Director Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5121580) Apply Assistant Director Salary $114,974.00 - $170,935.00… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- **Associate Director , Field Strategy, Nephrology/Immunology** **Position overview:** The **Associate Director , Field Strategy** plays a critical role in enabling ... and execution through standardized dashboards. + Partner with Commercial Operations to **streamline reporting processes** and provide clear, actionable insights… more
- Otsuka America Pharmaceutical Inc. (Dover, DE)
- **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... + **Cross-Functional Collaboration:** Work closely with, market access, Finance, Commercial operations , and medical teams to ensure seamless execution of brand… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- **Job Summary** **** The Associate Director , MSAT - Downstream provides specialized technical leadership and oversight for all downstream manufacturing processes ... for ensuring the robustness, scalability, and compliance of downstream operations through effective technology transfer, validation support, process monitoring,… more
- Otsuka America Pharmaceutical Inc. (Augusta, ME)
- **Position Overview:** The Senior Director , MSAT Biologics provides strategic and technical leadership for all late-stage and commercial manufacturing processes for ... supporting the company's portfolio, focusing on technical oversight of CDMO manufacturing operations . + Build, lead, mentor, and manage the MSAT team, fostering a… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** The Associate Director , Communications Engineer designs, implements, manages, and maintains network communications systems and supporting systems. ... and routers implementing VLANs, routing protocols, LACP, etc. + Experience in supporting IT operations in compliance with 21 CFR Part 11, COBIT 4, and J-SOX +… more
- Geisinger (Danville, PA)
- …teams. Develops and directs the prevention, detection and investigation of anti- fraud , waste and abuse (FWA)program processes and oversight and coordination of ... activities. Ensures all regulatory requirements are met including the completion of annual fraud plans and reports. Acts as a point of contact for collaboration with… more
- AAA Mid Atlantic (Wilmington, DE)
- AAA Club Alliance is seeking a Director of Accounting to join our team! Position Summary: The Director of Accounting is a strategic and operational leader ... responsible for overseeing the daily execution, integrity, and optimization of accounting operations related to Travel and Insurance lines of business , along with… more
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