- The Cigna Group (Philadelphia, PA)
- …and across the business units. + Reports to the Part C Legal Compliance Manager;*Monitors transactions and business processes associated with reconciling ... Responsible for Part C audit activities for the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates… more
- HealthEdge Software Inc (Trenton, NJ)
- …impacts relevant to our customers and our software. + Partner with enterprise legal & compliance team to identify and document clinical regulations relevant ... adopt digital transformation and innovation + 7+ years' experience with healthcare compliance /regulations - Medicare , Medicaid, federal and state requirements +… more
- Merck (North Wales, PA)
- …business decisions. + Ensure contract strategies are implemented effectively and in compliance with required obligations (eg, legal , financial). + Responsible ... + LTC + National and regional health plans and PBMs (Commercial, Managed Medicaid, Medicare Part D) The US Market Access Contracting Team acts as a unique and… more