Medicare Regulatory Specialist Jobs in New York City

Senior Contract Specialist Duties: Reporting directly to the Manager of Contracts (the Manage) of the Clinical Trials Office (the CTO) of Columbia University's College of Physicians & Surgeons (P&S) at University ..

Senior Contract Specialist Duties: Reporting directly to the Manager of Contracts (the Manage) of the Clinical Trials Office (the CTO) of Columbia University's College of Physicians and Surgeons (P&S) at Columbia ..

Senior Contract Specialist Duties: Reporting directly to the Associate Director of Contracts (the "Associate Director") of the Clinical Trials Office (the "CTO") of the University's College of Physicians & Surgeons ("P&S") ..

Senior Contract Specialist II The candidate will provide responsibilities include: Collaborates with the Director, the Executive Director of the CTO, General Counsel, P&S faculty and administration and NYPH administration in meeting ..

Director of Regulatory Affairs Duties: Oversees team of ... Affairs Duties: Oversees team of regulatory compliance specialists for products offered. ... Board of Directors. Ensures the Regulatory Compliance teams are..

... occurs with a context of regulatory compliance, and work is assisted ... expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... related to care..

... relies on fundamentals of CMS Medicare Guidance on following and reviewing ... following and reviewing appeals for Medicare Part C Line of Business. ... occurs with a context of..

... business requirements, provide research and regulatory interpretation, and advise internal business ... Office and/or the Centers for Medicare and Medicaid Services (CMS). While ... monitor performance; Interpret and define..

Paralegal - Licensing/Contracts Specialist Duties: Organize/mobilize sensitive information from ... information in proper format to regulatory bodies, states, payors, or other ... organizational protocols, company policies and regulatory requirements. Adhere..

Manager, Privacy (Remote) The candidate will assist with the development, implementation, and maintenance of privacy and data protection policies and standard operating procedures for HIPAA, state privacy laws, GDPR, and other ..

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..

... Counsel, in concert with other Medicare Rights Center staff, include the ... email counseling to people with Medicare, their caregivers, and the professionals ... applying research and knowledge regarding..

Mental Health Specialist III Per Diem The candidate provides direct care services to individuals served in compliance with all policies and regulations. Completes progress notes in consumer resident’s clinical case record ..

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, ..

... occurs within a context of regulatory compliance, and work is assisted ... sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... related to care..

... Information Humana Medical Director - Medicare Pharmacy Appeals in Jersey City ... on clinical background and reviews Medicare drug requests. The Medical director ... based care in accordance with..

Job Description SIGNON BONUS $5,000 FOR EXTERNAL APPLICANTS. Requirement to reside in New York, Long Island or within commuting distance of Long Island. 50-75% of expected travel throughout Long Island. Working ..

... occurs with a context of regulatory compliance, and work is assisted ... expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... related to care..

... relies on fundamentals of CMS Medicare Guidance on following and reviewing ... following and reviewing appeals for Medicare Part C Line of Business. ... occurs with a context of..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

Job Information Humana Medicare Appeals and Grievance Medical Director ... relies on fundamentals of CMS Medicare Guidance on following and reviewing ... following and reviewing appeals for Medicare Part C..

... relies on fundamentals of CMS Medicare Guidance on following and reviewing ... following and reviewing appeals for Medicare Part C Line of Business. ... occurs with a context of..

... relies on fundamentals of CMS Medicare Guidance on following and reviewing ... occurs with a context of regulatory compliance, and work is assisted ... expertise. Medical Directors will learn..