Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is tasked with independently identifying, investigating, and developing complex healthcare cases against individuals or entities committing healthcare fraud. The role focuses on recovering corporate and client funds paid on fraudulent...
Title: Senior Managing Counsel- Pharmacy Job Responsibilities: - Lead a team of attorneys providing legal support for pharmacy operations, product development, payer relationships, and arrangements with 340B covered entities and others. - Provide strategic legal counsel on regulatory, operational, and...
Title: Associate Chief Counsel Job Responsibilities: - Lead a team of attorneys responsible for pharmacy network operations within the pharmacy benefit manager (PBM) business. - Oversee a team of attorneys supporting rebate, formulary development, and value-based solutions business units...
Contract Manager The candidate will manage the full life cycle of Pharmacy Benefit Management (PBM) contracts from RFP through client contract execution. Oversee the contract approval process, ensuring compliance, version control, and support the negotiation and execution of standard and...
that meet regulatory requirements for assigned products across the entire company. - Ensure all Medicare and Medicaid products and... services are tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities. - Maintain and track laws and r...
Title: Vice President, Corporate Compliance Investigation Job Responsibilities: The Vice President of Corporate Compliance Investigation is a pivotal role within the executive leadership of the company, tasked with overseeing the compliance investigation processes and ensuring adherence to legal and ethical standards. The...
that meet regulatory requirements for assigned products across the entire company. - Ensure all Medicare and Medicaid products and... services are tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities. - Maintain and track laws and regul...
Title: Vice President, Corporate Compliance Investigation Job Responsibilities: - Oversee the management of the Compliance Investigation Unit (CIU), the Ethics Point hotline, and risk assessments of the company's investigative processes. - Provide direction for managing and evaluating internal inquiries and allegations, as well...