Remote Insurance Compliance Lead – Medicare

A leading healthcare provider is seeking an Insurance Product Compliance Lead to manage compliance for Insurance Products including Medicare Advantage. You will research and analyze risks, draft essential documents, and work with regulators to ensure compliance. Candidates should have a strong background in Medicare Advantage and excellent communication...

A leading healthcare organization is seeking a Medical Director to provide medical interpretation and oversight for home health and Medicare services. This role requires an MD or DO degree, board certification, and over 5 years of clinical experience. The Medical Director will work in a structured remote environment, with occasional travel for meetings, and...

A leading healthcare organization is seeking a Medical Director to provide medical interpretation and oversight for home health and Medicare services. This role requires an MD or DO degree, board certification, and over 5 years of clinical experience. The Medical Director will work in a structured remote environment, with occasional travel for meetings, and...

Senior Compliance Analyst (Regulatory Change Management) - RemoteAt Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.The Senior Compliance Analyst assists in the implementation of...

Director Of MedicareLooking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or...

A leading online education provider is seeking a Senior Compliance Specialist to ensure compliance with education laws and regulations. This role involves conducting legal research, developing internal and partner school policies, and providing guidance on regulatory requirements. The ideal candidate will have a Bachelor’s degree and 5–7 years of...

A healthcare services provider is seeking a Clinical Programs Pharmacist Lead to enhance Medicare members' medication adherence within a collaborative team environment. Responsibilities include overseeing clinical program strategies and exercising independent judgment in complex clinical issues. Candidates must possess a Doctor of Pharmacy degree, an active...

A leading healthcare firm seeks a Compliance Lead to enhance compliance effectiveness and drive process improvements. Responsibilities include developing metrics, ensuring regulatory readiness, and providing strategic advisory. Candidates should have a Bachelor's Degree, at least 3 years in compliance, and strong data proficiency. The role offers a...

A leading healthcare firm seeks a Compliance Lead to enhance compliance effectiveness and drive process improvements. Responsibilities include developing metrics, ensuring regulatory readiness, and providing strategic advisory. Candidates should have a Bachelor's Degree, at least 3 years in compliance, and strong data proficiency. The role offers a...

Become a part of our caring community and help us put health first The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to evolve and grow, changing the...