- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …materials or other types of product communications to provide comprehensive regulatory compliance guidance. + Ensures product promotional materials are ... a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. **Job Description**… more
- Prime Therapeutics (Atlanta, GA)
- …decision we make. **Job Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job Description** The Functional ... Corporate Compliance ) + Advise internal clients regarding compliance with State and Federal Medicaid regulatory ...least one of the specific areas for position (eg, compliance , claims , eligibility, product, benefits, implementations or… more
- CVS Health (Atlanta, GA)
- …+ Support Lead Director with general inquiries + Ensure BH product compliance with all state and federal regulations **Required Qualifications** + 3+ years of ... Product Operations team within SPME. Reporting to the Lead Director of MHWB Product Operations, you will play a...of this team, you will lead and support MHWB's compliance within the enterprise's legislative implementation process. You will… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …transform the health experience, one connection at a time, together. The ** Director , Digital Health Corporate Counsel** will be responsible for providing legal ... health, and AI clients on the application of healthcare regulatory laws to their business. The position will report...their business. The position will report to the Executive Director , Deputy General Counsel. The Director will… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …nutraceutical products for the maintenance of everyday health As a Director , Quantitative Pharmacology, **Clinical Pharmacology,** you will oversee all **clinical ... pre-IND, IND, phase1-3, **Pharmacokinetics** **(PK)** , **Pharmacokinetics-Pharmacodynamics (PK/PD)** and regulatory submissions. You will lead study design, execution and… more
- Humana (Atlanta, GA)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Humana (Atlanta, GA)
- …site of service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include ... The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Humana (Atlanta, GA)
- …site of service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include ... The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …Specialty Pharmacy operations for OAPI The position will report to the Executive Director , Channel Strategy and Patient Affordability We are seeking a highly skilled ... and motivated Director of Specialty Pharmacy Operations to lead and oversee...including Brand Marketing, Sales, Patient Access, Medical Affairs, and Regulatory , to integrate pharmacy operations seamlessly into the broader… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …making and performance analysis + Change management and program implementation + Regulatory compliance and risk management Preferred Skills + Comprehensive ... Director of Field Reimbursement Management (FRM) Position Overview...post-prescribing performance through strategic planning and execution + Ensure compliance adherence through in-field visits, call and case monitoring,… more
- Humana (Atlanta, GA)
- …the various operational teams + Meets or exceeds all operational goals, including regulatory compliance requirements + Promotes and builds an "Audit Ready Every ... experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …the company and KOLs ensuring alignment with business objectives and compliance with regulatory guidelines. **Key Responsibilities:** **KOL Development and ... The Associate Director , TLL, Renal Rare Disease, is a field-based,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Evolent (Atlanta, GA)
- …and impact across internal teams and external partners. + **Advanced Reporting & Compliance :** Lead the development of regulatory and ad hoc reporting ... of our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both internal teams (EAS,… more
- Zurich NA (Atlanta, GA)
- Crop Technical Underwriting Director 123261 Zurich North America is currently looking for a Crop Technical Underwriting Director for our North America Technical ... Zurich offices with business travel expected. The Crop Technical Underwriting Director is responsible for establishing Zurich North America Crop underwriting… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …decision making and performance analysis + Change management and program implementation + Regulatory compliance and risk management Join our team to make a ... + Collaborate with E&C to develop and implement a compliance monitoring process through in-field visits and call and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- The Coca-Cola Company (Atlanta, GA)
- …Customer Management technologies. + Ensure perfect orders are supplied in compliance with TCCC and country-specific regulatory requirements. **Innovation:** + ... and collaborate with departments like Planning and Product Quality Assurance to align claim management processes and communications with customer needs. + As a key… more
- Elevance Health (Atlanta, GA)
- **Product Management Director - Provider Workflow & Quality Solutions** **Location:** Alternate locations may be considered. This position will work a hybrid model ... of life through home-care and community based services. The **Product Management Director ** will lead our Provider Workflow and Quality Solutions portfolio. In this… more
- Molina Healthcare (Augusta, GA)
- …Develops the network, assuring network adequacy and access to member choice in compliance with federal and state laws. Negotiates and services larger and more ... and supports larger and more complex market/national/group-based providers in compliance with company standards while meeting and exceeding accessibility, quality,… more
- Molina Healthcare (Columbus, GA)
- …Corporate and other stakeholders as needed to modify contract templates to ensure compliance with all contractual and/or regulatory requirements. * Monitors and ... analyses of national contracts/benefits to support accurate configuration for claims payment); Provider/Member Inquiry Research and Resolution; and Provider/Member… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …* And more **Work Location:** Atlanta, GA **Description** + Reporting to the Director , Compliance Audit and Analysis, oversees audits, monitoring, and education ... focused audits and reviews to investigate adherence with billing compliance policies, legal and regulatory requirements, and...as well as Epic EMR. + Working knowledge of claims data and analysis, with experience working in the… more