- CVS Health (IN)
- …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 (Indianapolis, IN)
- …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
- Signature Healthcare (Indianapolis, IN)
- …of choice in the healthcare industry. Overview The ideal Signature Clinical Care Consultant Candidate would have working knowledge of Medicare , Medicaid and ... standards of care are in place to achieve clinical, regulatory, and reimbursement compliance . + Provide oversight and guidance to staff in assigned facilities, which… more
- Elevance Health (Indianapolis, IN)
- **Provider Contract/Cost of Care Consultant Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... as required by law. The **Provider Contract/Cost of Care Consultant Senior** provides the highest level of analytical support...Uses analytic tools to track both health risks and compliance , as well as supporting the contract negotiation process.… more
- Elevance Health (Indianapolis, IN)
- **Provider Contract/Cost of Care Consultant ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Provider Contract/Cost of Care Consultant ** provides analytical support to the Cost of Care...Uses analytic tools to track both health risks and compliance , as well as supporting the contract negotiation process.… more
- CVS Health (IN)
- …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 (Indianapolis, IN)
- …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