- Eisai, Inc (Nutley, NJ)
- …sales/business analytics) preferred.Experience working with pharmaceutical manufacturer compliance & regulatory requirements preferred.Experience navigating ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …of the most diverse and collaborative groups within the organization. From healthcare provider interactions and developing and implementing regulatory strategies ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one...they and their team act in complete and total compliance with all laws, regulations and policies. Responsible for… more
- Merck & Co. (North Wales, PA)
- …studies to characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, ... and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global Value… more
- Merck & Co. (Rahway, NJ)
- …studies to characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, ... and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global Value… more
- Merck & Co. (North Wales, PA)
- …meta-analyses, and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers and Global Value ... reimbursement and market access, and provides input into clinical, regulatory , payer/access, marketing and evidence generation strategies and programs.In… more
- Eisai, Inc (Boston, MA)
- …and healthcare systems).Experience working with pharmaceutical manufacturer compliance & regulatory requirements.Experience networking, establishing, and ... clinical/medical experience.Additional commercial function experience (eg sales training, marketing, managed markets, sales/business analytics) preferred.Experience working with healthcare… more
- Eisai, Inc (Phoenix, AZ)
- …approved promotional clinical trials, patient access to medication, and regulatory / compliance guidelines preferred.Experience with account planning and ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care… more
- NTT DATA Services (Los Angeles, CA)
- …services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational ... apply now. We are currently seeking a Sr Sales Executive- IT Sales/ Managed Services ( Healthcare Payer) - Remote to join our team in Los Angeles, California… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …and compliance . Ensure adherence to TJC, CMS, and state regulatory standards. Participate in interdisciplinary care planning meetings and discharge rounds. ... utilization review, case management. Strong working knowledge of hospital billing, managed care systems, and discharge planning. Excellent skills in communication,… more
- Molina Healthcare (Long Beach, CA)
- Job Description JOB DESCRIPTION Job Summary Responsible for internal business regulatory projects and State programs involving department or cross-functional teams ... delivering products through the design process to completion and for meeting compliance . Plans and directs schedules as well as project budgets. Monitors the… more
- EXL Service (Atlanta, GA)
- …operations for the world's leading corporations in industries including insurance, healthcare , banking and financial services, media and retail, among others. EXL ... to help clients improve outcomes, optimize revenue and maximize profitability across the healthcare ecosystem. Technology, data and analytics are at the heart of our… more
- Molina Healthcare (Long Beach, CA)
- …care environment. *3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract ... group and hospital contracting, etc. *Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid… more
- Northwestern Memorial Healthcare (Lake Forest, IL)
- …patients. Monitors avoidable days and recommends change in services or processes. Ensures compliance with managed care contracts and length of stay targets while ... factors underlying patient's health problems. Advocates for patients' rights within the healthcare community to access resources to improve compliance and… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …Collaborate across departments to ensure alignment on improvement strategies and goals. Regulatory Compliance & Governance Ensure reporting accuracy and ... The analyst ensures data accuracy, provides actionable insights, and supports compliance with regulatory and value-based care programs. Compensation :… more
- Insight Global (Los Angeles, CA)
- …by medical groups and health plans contracted with LA Care, focusing on regulatory and contractual compliance across Medi-Cal, Medicare, Covered California, and ... Insight Global is looking for a Sr. Financial Compliance Auditor for one of the largest health...Minimum 5 years in claims audits or processing within managed care (eg, Medi-Cal, Cal MediConnect). Skills: Strong analytical,… more
- Solugenix (Los Angeles, CA)
- …benefits and processes. This position focuses on audits of contractual and regulatory compliance with timeliness and appropriateness standards. This position is ... Financial Compliance Auditor III, Claims Los Angeles, CA (Remote)...to work off-site. Knowledge and understanding of legislation and regulatory bodies affecting healthcare practices. Knowledge of… more
- Alliance Clinical Network (San Diego, CA)
- … Specialist supports clinical research studies by monitoring protocol and regulatory compliance , reviewing research data for accuracy, managing documentation ... PIs on a continuous basis based upon audit findings. Monitor the protocol and regulatory compliance of clinical research studies (with low -to high-risk research… more
- Jennie Stuart Health (Hopkinsville, KY)
- … Healthcare System (WKHS). Develops, manages, and monitors the managed care contracting, credentialing, and provider enrollment processes. Works under the ... supervision of the Managed Care Director. Organizational Expectations *Ability to make administrative/procedural decisions and judgements. *Ability to investigate… more
- Alliance Clinical Network (West Hills, CA)
- … Specialist supports clinical research studies by monitoring protocol and regulatory compliance , reviewing research data for accuracy, managing documentation ... PIs on a continuous basis based upon audit findings. Monitor the protocol and regulatory compliance of clinical research studies (with low -to high-risk research… more
- Atlas Healthcare Partners (Grand Rapids, MI)
- Corewell Health Orthopedic Surgery Center - E. Beltline, managed by Atlas Healthcare Partners, is situated within the Orthopedic Health and Performance Center in ... physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and... with policies and procedures, standards of care, and regulatory agency requirements. Promotes continuity of care by accurately… more
