- Elevance Health (Norfolk, VA)
- …a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. ** Compliance Manager ** **Location:** Elevance Health supports a hybrid ... includes remote work and 1-2 days in office per week. The ** Compliance Manager ** is responsible for managing foundational and strategic compliance … more
- Prime Therapeutics (Richmond, VA)
- …or GED is required + 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated ... tracking, renewing and submitting applications for licensure **Preferred Qualifications** + PBM /health care experience + Certified Compliance and Ethics… more
- CVS Health (Richmond, VA)
- …of appeal related issues and resolving them under tight TATs to remain in compliance . The Manager , Pricing is also responsible for creating reports required to ... care more personal, convenient and affordable. **Position Summary** The Manager , Pricing must have expertise and knowledge of the...monitor appeal bill compliance , satisfying client reporting requirements for appeals, as well… more
- Prime Therapeutics (Richmond, VA)
- …passion and drives every decision we make. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager Provider Relations is ... and efficiency of customer service to members, providers and clients. The Manager of Provider Relations works in collaboration with leaders throughout the… more
- Prime Therapeutics (Richmond, VA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Manager , Reporting & Analytics - Remote **Job Description** The Manager , Reporting ... Lead the development of the department reporting strategy based on compliance and regulatory needs, client demands, continuous improvement, and inter-departmental… more
- Prime Therapeutics (Richmond, VA)
- …and ability to adjust focus Reporting Structure: Reports to Principal or a Manager in the Privacy/ Compliance Department Potential pay for this position ranges ... is responsible for administration of privacy program activities to enable compliance and prevent, detect and correct privacy incidents across the organization.… more
- CVS Health (Richmond, VA)
- …Summary** The Federal Employee Program (FEP) is one of the largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr. Manager provides ... deployed, the Medicare Business Analytics - FEP - Sr. Manager incorporates these into all aspects of the claims...are visible to leadership and operational teams to ensure compliance and client profitability. **Required Qualifications** + 5+ years… more
- Prime Therapeutics (Richmond, VA)
- …The Employer Account Executive serves as the primary relationship manager for multiple employer/administrative services only (ASO) accounts. This position ... and the strategic plan of the client, ensuring contract compliance and measurement of key deliverables + Establish key...meet Prime and client priorities; work with Employer Account Manager to ensure member and client service excellence and… more
- Prime Therapeutics (Richmond, VA)
- …+ Experience with WSO2 + Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience working an in ... Agile/Product Delivery model + Previous experience in PBM / health care industry + Understanding of security...to adjust focus **Reporting Structure** + Reports to a Manager in the Information Technology department Potential pay for… more
- Prime Therapeutics (Richmond, VA)
- …degree of ambiguity **Preferred Qualifications** + Previous Pharmacy Benefit Management ( PBM ) or healthcare experience with understanding of Medicare, Medicaid, the ... Exchanges along with regulatory compliance requirements (HIPAA and/or PCI) + Experience working in...to adjust focus **Reporting Structure** + Reports to a Manager in the Information Technology department Potential pay for… more
- Prime Therapeutics (Richmond, VA)
- …comparisons **Preferred Qualifications** + Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in ... PBM / health care industry + Understanding of security...to adjust focus **Reporting Structure** + Reports to a Manager in the IT department Potential pay for this… more
- Prime Therapeutics (Richmond, VA)
- …skills **Preferred Qualifications** + Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience working an ... in Agile/Product Delivery model + Previous experience in PBM / health care industry + Understanding of security...to adjust focus **Reporting Structure** + Reports to a Manager in the Information Technology department Potential pay for… more