- Otsuka America Pharmaceutical Inc. (Washington, DC)
- …Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. ... Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary.… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- The Associate Director , Channel Analytics will be a key member of the Business Analysis team, responsible for leading marketing mix and channel analytics to ... of promotional investments across various channels (HCP, DTC, digital, non-personal promotion , etc.). + Develop and refine multi-touch attribution models and other… more
- CenterWell (Washington, DC)
- …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
- Lilly (Washington, DC)
- …entry (VEEVA, Sharepoint, Microsoft Office, Pub Med, expense reports, etc.), continual compliance of all procedural requirements of the role (ie good documentation ... its sole discretion and Lilly's compensation practices and guidelines will apply regarding the details of any promotion or transfer of Lilly employees. \#WeAreLilly more
- Georgetown Univerisity (Washington, DC)
- …28-person program team of managers and coordinators, with direct supervision of the Associate Director and the Outreach, Learning and Development, and IT ... website). Indirect Operational Oversight of Core Program Activities (through the Associate Director ) Provide year-round oversight of three program teams-for… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Washington, DC)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Washington, DC)
- …experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for ... and/or other end compliant inquiries. + Has 6-7 direct reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and… more
- Humana (Washington, DC)
- …us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and ... Operations, this role will be pivotal in ensuring operational efficiency, effectiveness, compliance , and the achievement of key business objectives. The Director … more
- Humana (Washington, DC)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning ... support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization… more
- Gilead Sciences, Inc. (Washington, DC)
- …in transforming patient care through groundbreaking therapies. As the **Regional Director - HIV Prevention, Field Activation Specialist - Northeast** , you'll ... knowledge sharing and cooperation across the team and ecosystem organization. ** Compliance and Integrity/ Compliance and Legal Adherence:** + Ensure all… more
- CenterWell (Washington, DC)
- **Become a part of our caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the leader of Forecasting and would ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Grant Thornton (Washington, DC)
- As a Process Risk Senior Associate , you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their business ... in addressing risk in both proactive and responsive contexts for the Risk, Compliance & Controls Practice - all with the resources, environment, and support to… more
- Otsuka America Pharmaceutical Inc. (Rockville, MD)
- …trial regulations, and the False Claims Act and anti-kickback statutes. + Support Associate Director , Healthcare Law Auditing & Monitoring with other assignments ... **Job Summary** This position assists the US Ethics & Compliance (E&C) Governance, Risk Management, and Compliance ...& Compliance (E&C) Governance, Risk Management, and Compliance (GRC) function supporting the Chief Compliance … more
- CenterWell (Silver Spring, MD)
- …and contributes to department in-services. + Notify physical therapist or Executive Director of any equipment failures, lack of supplies, staff or client changes, ... with education and competence to care for patients. + Promote compliance with all fiscal intermediaries and/or other third-party payors, through education,… more
- HealthFitness (Washington, DC)
- …+ Associate 's degree or higher in Exercise Science, Health Promotion , Kinesiology or related discipline or equivalent combination of education, current ... onsite and virtual programs and services. You will be responsible for contract compliance ; development of and adherence to the strategic business plan; design and… more