- BlueCross BlueShield of North Carolina (NC)
- … plans. + Cross-departmental collaboration and stakeholder education. + Responsible for DSNP HEDIS program management which includes HEDIS Roadmap, production ... Program Administration, Program Documentation, Program Evaluations, Program Implementation, Program Management, Project Management, Resource… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …interpretation, periodic monitoring and auditing activities based on established compliance program , policies, and practices to ensure and maintain compliance with ... federal, state, and local regulatory, contractual and legal requirements. As a Compliance Manager , you will be part of a fast-growing team who develops and maintains… more
- Centene Corporation (Raleigh, NC)
- …in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program requirements. Provide regulatory interpretation, perform compliance reporting, lead ... Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D- DSNP specific or separate) compliance reporting responsibilities and respond to inquiries… more
- ChenMed (Miami, FL)
- …laser focus on Medicare Advantage products, including understanding of CSNP and DSNP plans. Position is responsible for developing and launching collaborative growth ... First Look Benefit documents and participates in internal sessions to synthesize and project current patient impact during AEP at market and center level. Assists in… more