- Alameda Health System (Oakland, CA)
- Regulatory Affairs Manager +...The Joint - Commission (TJC) standards and Centers for Medicare and Medicaid Services (CMS) and Title 22 regulations. ... Oakland, CA + Quality + Regulatory Affairs + Full Time - Day + Business Professional...5. Identifies growth and areas of opportunity to enhance Regulatory Affairs and AHS initiatives. 6. Identifies… more
- Grifols Shared Services North America, Inc (Washington, DC)
- …information, please visit our website: http://www.grifols.com **Summary** The North American Corporate Affairs Manager for Health Policy position is a critical ... and strategic initiatives. - Collaborate with cross-functional teams, including government affairs , legal, regulatory affairs , and business development,… more
- Amgen (Washington, DC)
- …work alongside other innovative, driven professionals in this meaningful role. Corporate Affairs Manager - Patient Assistance Programs **Live** **What you will ... that are aligned to support Amgen's PAPs. **Key responsibilities of the Corporate Affairs Manager - PAP will include:** + **Program Oversight:** Accountability… more
- Healthfirst (New York, NY)
- …Federal regulatory entities. The Regulatory Audit team within the Regulatory Affairs Department is the primary liaison between Healthfirst business areas ... and timely submissions for all lines of business. The Regulatory Audit Manager reports to the Director,...New York insurance law and regulation. + Experience in Medicare and Medicaid health insurance preferred. + Experience working… more
- LA Care Health Plan (Los Angeles, CA)
- …(OMT) Online Monitoring Tool (OMT) by Gorman) will also be updated and reported to Regulatory Affairs and Compliance (RAC) for support of CMS regulatory ... Financial Compliance Data Manager II Job Category: Accounting/Finance Department: Financial Compliance...data collection template. Modifies parameters to ensure compliance with Medicare regulatory data standards. Assists in the… more
- Fallon Health (Worcester, MA)
- …and external customers. Interacts with departments such as Accounting, Sales and Regulatory Affairs . Maintains a positive approach to issues and concerns ... with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider...and maintains premium rates as provided by Actuarial and Regulatory Affairs (including Low Income Subsidy and… more
- LA Care Health Plan (Los Angeles, CA)
- …other general operations units. Ensures timely appeal and grievance reporting to regulatory agencies, internal Regulatory Affairs and Compliance Department, ... Manager , Appeals and Grievances General Operations (RN-Clinical) Job...Excellent understanding of NCQA, DMHC, DOI, DHCS, and CMS regulatory requirements. Knowledge of Coordination of Care, Medicare… more
- LA Care Health Plan (Los Angeles, CA)
- …identifying opportunities for improvement. Ensures timely appeal and grievance reporting to regulatory agencies, internal Regulatory Affairs and Compliance ... Manager , Customer Solution Center Appeals and Grievances Job...and grievances for all product lines (Medi-Cal, Medi-Cal Direct, Medicare , PASC-SEIU and LA Care Covered) in a manner… more
- Novo Nordisk (Princeton, NJ)
- About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... organization. From health-care-provider interactions and developing and implementing regulatory strategies with the FDA to providing medical education and collecting… more
- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? Senior Credentials Manager Job Summary: + Responsible for the credentialing operations of the Penn Medicine ... Corporate Office of Medical Affairs ("OMA") directly including, but not limited to, its...Commission (TJC), Department of Health (DoH), and Centers for Medicare & Medicaid Services (CMS)) and payer (National Committee… more
- CenterLight Health System (Flushing, NY)
- …processed in a timely manner that is compliant with state, federal and PACE regulatory requirements. The Account Manager is expected to maintain ethical conduct ... JOB PURPOSE: The Account Manager - Veteran will be responsible to drive...RESPONSIBILITIES: + Educate prospective community leaders, resources of veteran affairs , veterans, providers, participants/caregivers and other audiences on PACE… more
- Rush University Medical Center (Chicago, IL)
- …input to his/her supervisor to identify areas of opportunity within the manager 's scope, escalate risk and resolve barriers. This position will provide direction, ... communicates with Revenue Cycle colleagues, study teams, patients, Office of Research Affairs , IRB, RUMC Compliance, and all partners in the Research Continuum. *… more
- Penn Medicine (Radnor, PA)
- …+ Regulatory Compliance: Works with the Division's Quality Assurance manager in functioning as liaison to accrediting/ regulatory agencies in preparation ... maintained for each determination performed; manage personnel, and all fiscal affairs . Responsibilities: + Technical Services: With Medical Director, sets strategic… more
- Abbott (Pleasanton, CA)
- …functions such as compliance, legal, regulatory affairs , government affairs , and finance. Experience with Medicare /Medicaid, Joint Commission or state ... scientists. **The Opportunity** We have an exciting opportunity for an ** Manager ,** **Ethics & Compliance** within our Abbott Rapid Diagnostics-Acelis Connected… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to ensure systems align with policies. + Collaborates with Government Regulatory Affairs , Network Management, Medical Economics, Benefit Administration, Provider ... Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. Manager is responsible for leading the research development, proposal, implementation,… more
- CareOregon (Portland, OR)
- …Specialist Exemption Status Exempt Department Legal Affairs Manager Title Regulatory Affairs Manager Direct Reports n/a Requisition # 24192 Pay ... for process improvement. + Provide backup for other staff on the Regulatory Affairs Team. Organizational Responsibilities + Perform work in alignment… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Manager , Medicaid Compliance to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health ... working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier...activities under the Plan's Medicaid Programs' compliance plan. The Manager , Medicaid Compliance acts as a liaison with the… more
- Commonwealth Care Alliance (Boston, MA)
- …comment collection and submission process for updated regulations. + Serve as Regulatory Affairs and Compliance liaison with key internal departments (non-FDR ... of the program, Medicare , or Medicaid. + Coordinates, with the Compliance Manager , regular meetings with all FDR MS business owners. + Hold meeting dates and… more
- MetroLink (Los Angeles, CA)
- …and utilities to ensure compliance with railroad engineering standards and regulatory requirements. This position will be involved in managing projects and ... to be interpreted as an exhaustive list of responsibilities. + Serve as Project Manager for various railroad capital and rehab projects during design. + Serve as… more
- Sharp HealthCare (San Diego, CA)
- …supervision, exercises responsibility as administrative coordinator for the Compliance and Regulatory Affairs Department. Reporting to the Director Compliance ... and Regulatory Affairs , the Administrative Coordinator Compliance is responsible for ongoing...variety of administrative support functions for the Director, the Manager Commercial Compliance, the Manager Medicare… more