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Senior Advisory & Monitoring Specialist – HHS/Regulatory Responsibilities: Serve as a subject ... matter expert on controls and compliance programs for HHS-regulated areas (e.g., ... pricing, government price reporting, OIG..
... At Home Special Needs Plan Compliance Review team within Home Solutions ... Review team within Home Solutions Compliance and Risk Management. The Quality Assurance Professional 2 performs audits .....
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... system (suppliers and customers) in compliance with company and regulatory guidelines 8. Serve as an ... an escalation point for AP Specialist I for questions and support ... as..
... occurs with a context of regulatory compliance, and work is assisted by ... meeting departmental expectations, and meets compliance timelines. Supports the assigned work ... training in transitions of..
... philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions ... delivery of patient care in compliance with standards outlinedin the facility ... and..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Glen Allen Virginia Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..
... managed care, PBM, market and regulatory insights to develop and/or implement ... managed care, PBM, market and regulatory insights to lead the development ... remediation Ensures that formulary development..
... service management, Cybersecurity, infosec, privacy, regulatory compliance, etc.) and across the broader ... automated analysis that can populated. regulatory compliance reporting and metrics for the ... the overall risk..
... procedures and standards - Ensure compliance with all federal, state and ... all federal, state and local regulatory procedures regarding food service **Qualifications:** ... Sunrise Senior Living has championed..
... seeking a Software Entitlement and Compliance Specialist who will be accountable for ... including full software lifecycle management, compliance, optimization, audit data requests and ... where the Software Entitlement..
... in order to improve the quality of healthcare for humanity. All ... here: https://hr.vcu.edu/current-employees/benefits/university-and-academic-professional-benefits/ Summary The Grant Specialist (Specialist) assists the grants administrator in ... administration of sponsored project...
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign ..
... career development. Superior training, UltraCare® quality control, and certification procedures ensure ... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Provides .....
... seeking a Software Entitlement and Compliance Specialist who will be accountable for ... including full software lifecycle management, compliance, optimization, audit data requests and ... Software Asset Management Entitlement..
Complex Claims Specialist - Program Law Duties: The ... claimants and business partners, achieving quality and cycle time standards, providing ... appropriate resources, and delivering high quality service. Identifies and..
Senior Estate Advisory Specialist - Lead Fiduciary Advisory Specialist (LO) The candidate will review ... accordance with post mortem planning, regulatory, statutory requirements, and internal policies. ... of estate planning..
Description We're an entrepreneurial team set on transforming the US healthcare system and making real improvements in member health outcomes. Identifying and delivering new avenues of growth is a critical company ..
