- CVS Health (TX)
- …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 (Austin, TX)
- …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. (Dallas, TX)
- Overview Hospice Care Consultant Position: Hospice Care Consultant Job ID: Position Type: Full-Time Remote/Virtual Position: No Coverage Area: McKinney, Rockwall ... Find Your Passion and Purpose as a Hospice Care Consultant Salary: 70,500-85,000 Offer Based on Years of Experience esedical Sales Medical Sales Medical Sales… more
- CVS Health (TX)
- …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 (Austin, TX)
- …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
- ChenMed (Houston, TX)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and… more
- ChenMed (Houston, TX)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... Act as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable center and market leadership to ensure compliance with guidelines along with participating in risk and… more
- Humana (Austin, TX)
- …communications and processes + Relevant SAFe certificationssuch as SAFeProgram Consultant , SAFe Lean Portfolio Management, andSAFe Agilist **Additional Information** ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CVS Health (San Antonio, TX)
- …chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative ... clinical tools and information/data. - Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates… more
- Sysco (Houston, TX)
- …that traditionally require expertise around nutritional requirements, regulatory compliance , menu development, disaster planning, and Group Purchasing Organizations. ... On an as needed basis, provide nutritional system tools and referrals to consultant RDs to help customers meet federal and state requirements. Additionally, support… more
- UTMB Health (Friendswood, TX)
- …Chief Physician Executive, and/or the CBC CMO + Serves as an internal consultant to administration, staff, and physicians in the areas of regulatory, process ... key stakeholders in program development to ensure effective implementation, compliance , and contractual arrangements to fulfill regulatory requirements, communication,… more