- Lundbeck (Chicago, IL)
- …lead the way in creating positive customer experiences!As a BioPharmaceuticals Account Manager , you lead the promotion of our infusion product, driving demand ... internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid, Commercial) using Lundbeck resources. Local Market & Therapeutic… more
- Lundbeck (Rockford, IL)
- …and transform lives. Join us on our journey of growth!As a Neuroscience Account Manager , this is an incredible opportunity to join the growing promotion of our CNS ... to promoted portfolio using Lundbeck resources. Utilize deep understanding of Medicare payer landscape in addition to other payer channels including Medicaid… more
- Lundbeck (Fargo, ND)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance ... transform lives. Join us on our journey of growth!As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …for all customer segments (eg, Managed Care, Non-Federal Hospitals, Long-Term Care, Medicare Part D, Medicaid (FFS & MM), Exchanges and Federal), including Diabetes, ... & analysis: Assists with developments and updates to Pricing SOPs in compliance with all applicable regulations Assists with the notification of launch product… more
- Merck & Co. (Memphis, TN)
- …company's divisions and functional areas; ensureintegration with the Key Account Manager , Nurse Educator, Field Reimbursement Associate, Medicare Account ... consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance Los Angeles Residents… more
- CVS Health (Lansing, MI)
- …**Position Summary** This position is located in the state of Michigan The Sr. Compliance Manager is an experienced/career level compliance position that ... individual will work independently, as well as collaboratively, with internal senior level Medicare compliance and business teams that operate MMP and DSNP… more
- Sharp HealthCare (San Diego, CA)
- …support functions for the Director, the Manager Commercial Compliance , the Manager Medicare Compliance , the Lead Oversight & Monitoring, and other ... Under minimal supervision, exercises responsibility as administrative coordinator for the Compliance and Regulatory Affairs Department. Reporting to the Director … more
- Medical Mutual of Ohio (Brooklyn, OH)
- …perform pre-employment substance abuse and nicotine testing._ **Title:** _Senior Medicare Compliance Analyst_ **Location:** _OH-Brooklyn_ **Requisition ID:** ... and manages the implementation and daily operation of the Medicare Advantage Compliance Program and all ...or specialized departmental training relative to operational processes and/or compliance with laws and regulations. Work with Manager… more
- CVS Health (Salt Lake City, UT)
- …in new and exciting ways every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products ... market performance, cost structure and local execution of medical costs management, compliance , and revenue integrity efforts for all Medicare Advantage products… more
- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have two main ... filings, new benefit implementation, and product/vendor management processes. The Senior Manager will support annual assessment of new product strategies by… more
- CVS Health (Scottsdale, AZ)
- …are seeking a dynamic and experienced leader to join our team as a Senior Manager , overseeing a team of 10 auditors. This role is pivotal in conducting and building ... Medicare Pharmacy Audit programs for our PBM clients. The...the unique needs of our clients. As the Senior Manager , you will be responsible for developing and implementing… more
- CVS Health (Carson City, NV)
- …**Qualified Candidates will sit in the Las Vegas Nevada area** Aetna is looking for a Medicare Sales Broker Manager to join the Nevada sales team that drives and ... achieves sales results through an assigned Nevada hierarchy of independent Medicare brokers. Responsibilities include: - Develop and execute market strategy… more
- Medical Mutual of Ohio (OH)
- …under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare ... under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare… more
- CareOregon (Portland, OR)
- … Medicare Administration Exemption Status Exempt Requisition # 24745 Direct Reports Medicare Leadership Team Manager Title Chief Financial Officer Pay & ... This position is responsible for strategy, growth, and oversight of the Medicare Advantage line of business. Time is focused on enterprise-wide engagement, as… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Medicare Billing and Follow-up Representative are responsible for the compliant, accurate and timely billing and follow-up of all hospital Medicare and ... limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both electronic and...leve ls , quality of work output , in compliance with established CRH ' s policy and standards… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #266 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
- CVS Health (Columbus, OH)
- …Employee Program (FEP) is one of the largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr. Manager provides technical, analytical and ... assurance testing. As new programs, benefits, processes, and technology are deployed, the Medicare Business Analytics - FEP - Sr. Manager incorporates these into… more
- UCLA Health (Los Angeles, CA)
- …responsible for coordinating mock RADV audits and compliance audits with the compliance officer and the manager of coding and education. The Assistant ... and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director...Director of Risk Adjustment will oversee the manager of the coding team and our performance improvement… more
- Banner Health (AZ)
- …a direct interface with the Arizona Medicaid Agency (AHCCCS), Center of Medicare and Medicaid Services (CMS), Association for Community Affiliated Plans (ACAP), and ... operating procedures are followed, necessary controls are effective and efficient, and compliance with current laws and regulations is achieved 4. Sets strategic… more
- Elevance Health (Knoxville, TN)
- …+ Serves as a liaison with state hot line staff and internal compliance personnel. **Minimum Requirements:** Requires a BA/BS degree in HealthCare or related field ... **Preferred Skills, Capabilities & Experiences:** Health insurance, Medicaid and/or Medicare experience. Please be advised that Elevance Health only accepts… more
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