- Daiichi Sankyo, Inc. (Bernards, NJ)
- …partners and stakeholders on key policies, procedures, practices and requirements for healthcare and related legal compliance and educate clients and partners ... but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid, product pricing, and government price reporting. Coordination with, and… more
- Eisai, Inc (Boston, MA)
- …support programs experience desired Demonstrated strong understanding of the US healthcare system across major payer segments ( Medicare , Medicaid, Federal, ... 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
- Daiichi Sankyo, Inc. (Boston, MA)
- …cultivate business relationships within focused accounts. Assist oncology healthcare professionals and staff in resolving reimbursement issues/barriers in ... the appropriate utilization of NCCN/ASCO guidelines, private payer, GPOs, Medicare and Medicaid structure, Specialty Pharmacy systems and reimbursement processes… more
- Lundbeck (Philadelphia, PA)
- …to promoted portfolio using Lundbeck resources. Utilize deep understanding of Medicare payer landscape in addition to other payer channels including Medicaid ... and Commercial. Pharmaceutical Environment/ Compliance - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and… more
- Merck & Co. (North Wales, PA)
- …management accountsLTCNational and regional health plans and PBMs (Commercial, Managed Medicaid, Medicare Part D)The US Market Access Contracting Team acts as a ... business decisions.Ensure contract strategies are implemented effectively and in compliance with required obligations (eg, legal, financial).Responsible for … more
- Lundbeck (MA)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance ... years pharmaceutical, biopharmaceutical, biologics, medical device sales or related healthcare sales experience Must demonstrate the intellectual capacity to score… more
- Daiichi Sankyo, Inc. (Seattle, WA)
- …cultivate business relationships within focused accounts. Assist oncology healthcare professionals and staff in resolving reimbursement issues/barriers in ... the appropriate utilization of NCCN/ASCO guidelines, private payer, GPOs, Medicare and Medicaid structure, Specialty Pharmacy systems and reimbursement processes… more
- The Cigna Group (Atlanta, GA)
- …and presentation skills a must + Direct response and digital media experience + Medicare or healthcare compliance experience + Leadership skills imperative ... with other channels, meet brand standards and can positively impact Cigna's Medicare PDP growth goals. **Responsibilities** + Partner to provide the strategic… more
- The Cigna Group (Bloomfield, CT)
- …short-term, immediate deadlines. Preferred Requirements + Masters Degree. + Experience in Medicare managed care and/or relevant healthcare experience. + High ... a member of the clinical senior leadership team, the Chief of Staff for the Medicare Clinical Strategy team will report directly to the Vice President (VP) and Chief… more
- The Cigna Group (Bloomfield, CT)
- …a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint Resolutions ... Senior Supervisor is a leadership role within the Cigna Medicare Customer & Client Service Experience (CCSE) Organization reporting to the manager of CTMs. This role… more
- Molina Healthcare (Bowling Green, KY)
- …+ Collaborate with cross-functional teams to align call center operations with Medicare compliance and quality standards. **Operational Excellence** + Oversee ... leaders and staff are working on retention and expansion initiatives. + Ensure compliance with Medicare guidelines and regulations. + Drives and maintains… more
- The Cigna Group (Nashville, TN)
- **What You'll Do** The Medicare National Contracting Advisor position is an integral member of the National Development and Network Solutions team, reporting ... directly to the Medicare National Partnerships Director. This role is a key...value-based and risk contracts through matrix partners. + Ensures compliance with contracting and compliance guidelines. +… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …and business partners. **Responsibilities** + Provide oversight of operational activities of Medicare Part D/EGWP programs + Ensure compliance with CMS rules ... **Overview** **The selected candidate must have** **5+ years experience in Medicare Part D and/or EGWP programs.** **Scope of Responsibilities:** Provides oversight… more
- Prime Healthcare (Inglewood, CA)
- …in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/166137/senior- medicare -medicaid-biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc… more
- HealthEdge Software Inc (Columbus, OH)
- …to adopt digital transformation and innovation + 7+ years' experience with healthcare compliance /regulations - Medicare , Medicaid, federal and state ... State regulatory bodies. The ideal candidate will have a strong understanding of healthcare compliance requirements across multiple regulatory bodies, as well as… more
- UCLA Health (Los Angeles, CA)
- Description As the Assistant Director of Medicare Advantage Audit and Fraud Compliance , you'll play a crucial role in safeguarding our health plan resources and ... compliance , Fraud, Waste, and Abuse (FWA) within our Medicare Advantage and Prescription Drug programs. Leading a team...leader with: + A Bachelor's degree in Business Administration, Healthcare , or a related field, required + Eight or… more
- The Cigna Group (Bloomfield, CT)
- This job posting encompasses two **Regional Medicare ** **Provider Contracting Senior Managers** serves as an integral member of the Network Development and Solutions ... Team, supporting the Northeast Region. This role reports to the Medicare Provider Contracting Regional Vice President. This role is a key contributor to the… more
- The Cigna Group (Austin, TX)
- …- Dallas, East Texas (must live in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever possible strive to help ... learn a ton, and share in changing the way people think about healthcare . **_Ideal locations: Dallas, East, TX area_** **_Travel - Locally 75%_** **_Reliable… more
- The Cigna Group (Bloomfield, CT)
- …environments? If the foregoing describes you, then we want you! The Cigna Medicare Sales Performance Improvement team is all about leveraging training and other ... of our sales teams and helping to meet Cigna Medicare 's industry-defining business goals and we need a skillful...for sales professionals + Keep up with Cigna strategy, compliance , industry changes and product enhancements + Provide strong,… more
- The Cigna Group (Bloomfield, CT)
- …opportunities, and implementing initiatives to drive improved rating performance + Medicare Compliance experience preferred + Project Planning experience ... to deliverables related to Corporate Integrity Agreement as well as key compliance related deliverables. Identify gaps in operational infrastructure to ensure the… more
