, not in error or duplicate, and free of fraudulent, wasteful or abusive practices. As the Pharmacy Payment Integrity Program... with our network and members is to pay claims accurately and on time while having transparent payment policies. Our Program Integrity...
Strategic Leadership & Policy Development Develop and manage enterprise-wide payment integrity policies and strategy... across all products Lead cross-functional governance activities to refine and evolve payment integrity programs based on performance...
areas of potential weakness and will communicate such findings to CMLT Will manage a program for revenue integrity matters... and manage an annual revenue integrity calendar to ensure that all payers payment activities are monitored on at least a biennial...
for the development, implementation and maintenance of the Medical Bill Review Quality Assurance Program. Responsible... operational consistency and integrity to claims and the medical payments processes. Serve as a technical expert with regard...
reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time... complete compliance with GMP, internal SOPs, and regulatory requirements (FDA, EMA, etc.). Lead the team through internal...
expenses and ensuring payment integrity o Align Optum Health needs, value goals and opportunities with capabilities... and efficiencies through utilization trend and quality monitoring and clinical program reviews · Talent Development & Leadership...
, and managed care contracts. Budgeting, Forecasting & Analytics Lead development of the annual operating and capital budgets... compliance + Pharmacy/340B program finance + Hospital-based or HLHC billing and reimbursement preferred Demonstrated...
and product development Conduct and manage provider data audits that ensure data integrity for network and oversee all provider...Description : The Network Relations role supports the frontline of Network Development, responsible for providing...
, employee e-mail accounts are considered property of Baker Tilly Advisory Group, LP, and are not subject to payment of agency... done and meaningful relationships with clients, teammates and leadership who truly care about you and your development. Does...
and product development Conduct and manage provider data audits that ensure data integrity for network and oversee all provider...Description : The Network Relations role supports the frontline of Network Development, responsible for providing...
Affairs requires the ability to apply complex scientific and expert regulatory advice and risk assessment for the development... to Commercial Teams, Medical Affairs, Public Affairs, Value Access and Payment, and other internal groups, on all promotional...
. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits..., comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance...