- Teva Pharmaceuticals (Parsippany, NJ)
- …view Draft language that reflects negotiated terms and ensures legal and regulatory compliance Create and maintain contract templates, playbooks and clause ... or advanced degree preferred) Minimum 7 years of experience in payer contracting, healthcare law, or managed care agreements (pharma/biotech or health insurance… more
- BillionToOne (Union City, CA)
- …with visibility into quality program status, risks, and outcomes Balance regulatory compliance with operational efficiency and speed-to-market Lead additional ... passionate innovators who wake up every day determined to transform healthcare . At BillionToOne, we've built something extraordinary-a culture where transparency… more
- Trinity Health (Columbus, OH)
- …systems to evaluate compliance and assure continuous accreditation and regulatory compliance . Scope includes Mount Carmel owned and affiliated entities ... of Trinity Health, one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22...by regulatory agencies. Assists in evaluation of regulatory compliance and operations from a process… more
- Molina Healthcare (Long Beach, CA)
- …network development and management, or project management experience in a managed healthcare setting. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : ... in a managed care setting. *Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare… more
- Molina Healthcare (Long Beach, CA)
- …in compliance with all relevant federal, state and local regulatory requirements. Knowledge/Skills/Abilities *Under the leadership of the Plan President, this ... with Enrollment and Contact Center Operation leaders to ensure full and consistent compliance with Health Plan state contract and regulatory requirements. Works… more
- Macpower Digital Assets Edge (Los Angeles, CA)
- …units in audit universe preparation and validation. Assists in document preparation for regulatory and internal audits. Regulatory compliance : Works closely ... and monitoring of the guidelines and protocols to ensure readiness for all regulatory audits. This position will develop, with the assistance of CSC management, a… more
- Eisner Health (Los Angeles, CA)
- …hands-on compliance leader who has successfully built, developed, and managed compliance programs in community health center settings. They must ... a roadmap for building program components over time, including staffing needs. Regulatory Compliance & Risk Management Develop and maintain policies and… more
- Cox Communications, Inc. (Raleigh, NC)
- …role supports the broader GRC function and collaborates cross-functionally to uphold compliance with industry standards and regulatory frameworks. At RapidScale, ... exceptional people. As a growing leader in secure, reliable managed cloud solutions, we help SMBs and enterprises alike...experience with 2 or more of the following: Finance, Healthcare and Cloud security compliance . Certified in… more
- Sentara Healthcare (Norfolk, VA)
- …plans Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory , accrediting and company policies and procedures ... Experience: 3 years experience in Nursing REQUIRED Case Management experience preferred Managed Care or Health Plan experience preferred Experience working with low… more
- Neighborhood Healthcare (Murrieta, CA)
- …for each of life's chapters. At Neighborhood, we are Better Together. Neighborhood Healthcare PACE is a managed medical plan built around surrounding ... Therapist works to support the mission and vision of Neighborhood Healthcare by providing occupational therapy services for patients to remain independent… more
- Baylor Scott & White Healthcare (Dallas, TX)
- …implements quality assurance programs and maintains standards and records that document compliance with regulatory agencies. Ensures the review of all quality ... individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core… 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
- Atlas Healthcare Partners (Greeley, CO)
- Banner Surgery Center - Greeley, formerly Mountain Vista Surgery Center is managed by Atlas Healthcare Partners. Conveniently located near 10th Street and 59th ... families the minute they walk through our door. Atlas Healthcare And Banner Health have partnered to manage, operate...physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and… more
- Atlas Healthcare Partners (Tucson, AZ)
- Banner Surgery Center - Alvernon is managed by Atlas Healthcare Partners. Conveniently located across the street from Banner University Medical Center Tucson, ... team that is fully committed to ensuring exceptional physician experience. Atlas Healthcare and Banner Health have partnered to manage, operate and grow Banner… more
- BJC HealthCare (St. Louis, MO)
- …Participates in activities that promote patient safety, quality and regulatory compliance . Participates in professional development. Develops, implements, ... the Siteman Cancer Center to receive care for some urgent needs. These patients are managed by the Nurse Practitioners and cared for the the staff nurses and PCTs.… 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
- Alameda Alliance For Health (Alameda, CA)
- …issues by initiating communication between departments to ensure action, cooperation, and compliance of managed care operations. Member Services Representative I ... accurate and complete inquiry/grievance records in the electronic database. Maintains compliance with DMHC regulatory requirements and DHCS contractual… more
- 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
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