- Lundbeck (Santa Monica, CA)
- …anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance - ... on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio,...potential hires who will work or reside in the state of California, if selected for this role, and… more
- Lundbeck (Fort Collins, CO)
- …anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance - ... include: north of Denver to the Wyoming border, the state of Wyoming excluding Jackson. SUMMARY: Are you a...the primary care and neurology settings. As an Account Manager , you lead the promotion of our psychiatry portfolio,… more
- Lundbeck (New York, NY)
- …the way in creating positive customer experiences! As a BioPharmaceuticals Account Manager , you lead the promotion of our infusion product, driving demand creation ... and external partners and effectively addresses payer access issues (Medicare, Medicaid , Commercial) using Lundbeck resources. Local Market & Therapeutic Area… more
- Humana (Frankfort, KY)
- …and help us put health first** Humana Healthy Horizons is seeking a Manager , Compliance - Medicaid State Reporting to ensure compliance with ... to determine approach, resources, schedules, and goals. The Manager , Compliance - Medicaid State Reporting develops and implements compliance … more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Compliance and Investigations Manager ** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ID** : ... primary work location to be eligible for telework._** **_*Approximately, 10% travel._** The Medicaid Compliance and Investigations Manager is responsible for… more
- Humana (Lansing, MI)
- …team of Quality Assurance Professionals responsible for ensuring consistency of use and compliance to state and Humana requirements for Long-Term Services and ... help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team Manager...area meetings, + Develop policies and procedures to ensure compliance with state and federal requirements and… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Account Manager Sr - NC Medicaid - Remote Raleigh, NC **Job Description** The ... Senior Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- OhioHealth (Columbus, OH)
- …OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state , federal, and local regulations. OhioHealth does ... Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be… more
- Insight Global (Raritan, NJ)
- …work experience in business discipline or related field. * Experience in Medicaid , Rebate Management, and/or compliance is preferred. Knowledge and understanding ... of product, industry trends and contracting processes * Familiarity with CORE/ Medicaid , CCRA, Content Manager . * A strong ability to develop innovative methods… more
- Centene Corporation (Austin, TX)
- …requirements. + Manage approval and submission of timely and accurate D-SNP State Medicaid Agency ("SMAC") contract and regulatory required report deliverables ... on established compliance program, policies, and practices to ensure and maintain compliance with federal, state , and local regulatory, contractual and legal… more
- Project Renewal, Inc. (New York, NY)
- Title: Senior Manager , Compliance Program: Legal, Varick Headquarters Salary Range: $90,000 - $100,000 per year Overall Responsibilities: The Senior Manager , ... is responsible for overseeing and implementing the organization's compliance program to ensure adherence to federal, state... in healthcare and related human services. The Senior Manager , Compliance reports to the Director of… more
- Prime Healthcare (Ontario, CA)
- …other federal and state financial reporting requirements. The Revenue Integrity Compliance Manager is a strategic thinker with strong leadership skills and ... seeking new members to join our corporate team! Responsibilities The Revenue Integrity Compliance Manager is a highly motivated and detail-oriented. This role… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Financial Compliance Audit, $10,000 SIGN ON BONUS Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, ... safety net required to achieve that purpose. Job Summary Manager , Financial Compliance Audit (Finance) has a...of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and other federal and state… more
- Cardinal Health (San Juan, PR)
- …of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is ... industry best-practices. + Develops and implements compliance training to ensure compliance with federal and state regulations and laws, CMS and other… more
- Elevance Health (Chicago, IL)
- ** Compliance Manager ** **Location:** his role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... for employment, unless an accommodation is granted as required by law. The ** Compliance Manager ** is responsible for managing foundational and strategic … more
- Medical Mutual of Ohio (OH)
- …is open to considering candidates who are remote as long as they live within the state of Ohio._** Founded in 1934, Medical Mutual is the oldest and one of the ... leading the implementation and day-to-day management of Medical Mutual's Medicare Compliance Program, which supports both Medicare Advantage and Medicare Supplement… more
- Elevance Health (Columbus, OH)
- ** Compliance Manager ** **Location:** This role requires associates to be in-office 1 - 2 days per week at one of our four Ohio offices (Cincinnati, Columbus, ... for employment, unless an accommodation is granted as required by law. The ** Compliance Manager ** is responsible for managing foundational and strategic … more
- MyFlorida (Tallahassee, FL)
- …pertinent Federal laws and regulations, state statutes and rules, the Florida Medicaid State Plan and its amendment processes, Medicaid Managed Care ... 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Date: Sep 30, 2025 The State...systems models. The incumbent shall maintain knowledge about the Medicaid State Plan, waivers, regulations, and processes.… more
- State of Indiana (Indianapolis, IN)
- …efficiency. + Develop and monitor program requirements to ensure it meets federal and state policies and grants compliance . + Develop and supervise training of ... Utilization Management Manager Date Posted: Sep 26, 2025 Requisition ID:...Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest… more
- State of Colorado (Denver, CO)
- …health, safety, and welfare of patients/residents/consumers of healthcare facilities/agencies in the state of Colorado, by evaluating and securing compliance of ... intervened appropriately. + Writes statements of deficiencies, identifying areas of non- compliance with federal and state requirements based on… more
