Title: Senior Compliance Analyst, Duals (D-SNP) Products Job Responsibilities: The Senior Compliance Analyst for Duals (D-SNP) Products is responsible for ensuring compliance with the Duals (D-SNP) Program requirements, partnering with leadership to maintain the company's adherence to these standards. Key responsibilities include: -...
Program requirements. - Provide regulatory interpretation and manage compliance reporting. - Lead special projects and develop compliance auditing and monitoring strategies for D-SNPs. - Respond to external requests for information needed for Duals and SMAC regulatory filings. - Handle Duals and Medicare compliance reporting...
The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.
Managed Care Services FTI’s Health Solutions Practice aids our clients (hospitals, insurers, life science companies, physician practices, and others) in preparing their organizations to execute in an environment of unprecedented change. This practice within FTI has grown at an average of 20% annually over the past four years, and is poised for continued growth at this pace. The Director will be assisting legal counsel and corporate clients which are primarily la... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Consultant, Managed Care Services Supervise large complex client engagements by developing and executing effective work plans, delegating and overseeing work of junior team members when appropriate, and having ongoing personal contact with clients to keep them informed on the progress of engagements. Develop and maintain client budgets and status reports. Develop new products and client engagement tools based on managed care industry trends. Analyze healthcare and man... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Director, Managed Care Services Duties: Will be assisting legal counsel and corporate clients which are primarily large for profit and non-profit managed care plans with Medicare and Medicaid contracts and... Pharmacy Benefit Managers with regulatory compliance and operations engagements within the Managed Care and pharmaceutical industries. Lead large complex client engagements by developing and executing effective work plans, delegating and overseeing work of junior team memb... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Business Development The candidate will develop and execute strategies for a function or discipline that span a large business unit or multiple markets/sites. Direct others to resolve business problems that affect multiple functions or disciplines. Product, service or process decisions are most likely to impact multiple functions and/or customer accounts (internal or external). Responsible for achieving growth goals. Develop, maintain, and execute Complex Care market exp... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Management Compliance Solutions Healthcare Director The candidate should have a Bachelor's degree in accounting, finance/economics, management information systems, computer science, business administration, statistics mathematics, regulatory compliance, science, technology, engineering and mathematics and/or other business fields of study. Should preferably have . or Master's degree in business, accounting or healthcare-related field. CHC, CHPC or CCEP certification... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
President, Business Development - Telecommute The candidate develops and executes strategies for a function or discipline that span a large business unit or multiple markets / sites. Directs others to resolve business problems that affect multiple functions or disciplines. Product, service or process decisions are most likely to impact multiple functions and / or customer accounts (internal or external). Responsible for achieving growth goals. Develops, maintains, and e... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Investigator The candidate will report to an SIU Investigative Lead and work in the Medicare department. Will utilize appropriate... resources from a variety of sources to investigate assigned cases within the Special Investigations Unit. Develop the strategy or theory of the case, by identifying key questions and elements needed to prove or disprove the allegation. Develop an investigative plan by identifying the information needed to prove or disprove the allegation, the reso... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
President, Compliance The candidate will ensure regulatory compliance with state and other government agencies related to the health insurance industry, firm, and its business subsidiaries. Will ensure business unit and firm are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and var... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
President, Compliance Duties: Ensure business unit and Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards. Overs... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Manager, Ethics & Compliance The candidate will manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned Marketplace products across the entire company. Ensure all Medicare and Medicaid product and... services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities. Maintain and track laws and regulations, co... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here