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Ensure compliance of pharmacy benefit management activities with appropriate regulatory (OCI, DOI, CMS, DHS) and accreditation (NCQA) organizations in collaboration with internal areas including assessment of new government program requirements and determine appropriate compliance strategies and implement.
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They will have access to all medical records for the hospital; will ensure proper compliance with regulatory agencies, accrediting bodies, and Home Office and hospital policies and procedures; and will work to develop, implement, and maintain quality assessment and improvement programs within the hospital.
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Quality and/or Risk Management experience including primary responsibility for performance improvement activities, regulatory compliance, conflict resolution, leadership, and risk management activities.
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Oversee the day-to-day administration and operations of the Benefits Plan and Plan Office, ensuring operational efficiency and compliance with regulatory requirements. Strong understanding of finance operations, health plan administration, and regulatory compliance.
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Assesses compliance with federal, state, and industry regulatory and accreditation standards. o Acts as an organizational liaison with the CEO and Corporate Compliance to ensure implementation of the Standards of Business Conduct and all applicable compliance policies.
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Understanding of project management and legal/regulatory approval processes Experience modeling business scenarios and developing business cases Home Office experience in a U.S. pharmaceutical or biopharmaceutical organization.
$180,000 - $220,000RemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Given our virtual environment— in order to set you up for success at home, a one-time payment of $2K will be provided to cover the purchase of in-home office equipment and furniture at your discretion.
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Oversee regulatory compliance programs for disaster recovery efforts and ensure alignment with Corporate Risk Management strategy and goals especially the business continuity program office.
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This position will be in support of Office of Sponsored Programs at the Home Office in Bethesda, MD. to lead and supervise a team responsible for set up, management, compliance and close out for all grants and cooperative agreements, to include award negotiations, coordination with pre-award, sub agreements team, regulatory affairs staff, finance, and program management, to support customer and compliance obligations for HJF prime award assistance agreement management.
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The Director of Professional Services is responsible to oversee the clinical aspects of the agency, to supervise all field staff, to assure compliance to all regulatory agencies and accreditation standards, and to manage the office in the absence of the Administrator.
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Examples of these include, but are not limited to, the Federal Sentencing Guidelines, Physician Self-referral law, HIPAA, and the Affordable Care Act. Such guidance, laws and regulations may come from many agencies including but not limited to: The Office of the Inspector General (OIG), Centers for Medicare and Medicaid (CMS), Department of Justice (DOJ), Internal Revenue Service (IRS), state regulatory agencies, etc.
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Will have and use a working understanding of solar renewable energy technologies including installation methods, safety compliance, regulatory requirements, construction processes, methodologies, engineering principles, technical drawings, and best practices or nearly equivalent technologies from other industries paired with a demonstrated ability to quickly learn.
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Developing financial institution, regulatory or supervisory policy for Community Reinvestment Act (CRA), Fair Lending or Home Mortgage Disclosure Act (HMDA) compliance; and. Coordinate with Chief Counsel's Office CRA and fair lending experts and work collaboratively to address issues of legal and regulatory interpretation related to emerging issues or rule changes related to CRA, fair lending, and HMDA.
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The Director, Engineering is directly accountable for leading Navisun's Engineering team in the timely completion of all stages of solar project design and engineering assigned to any member on the Engineering team within budget, safety standards, and regulatory guidelines.
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Technical Skills: Microsoft Office Suite, Windows, Google Earth, CAD, Procore, Salesforce, blueprint reading. This is a hybrid role consisting of working from home (remote) with regular weekly travel to construction sites out of state.
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regulatory compliance home office jobs Title: director in Thermopolis, Wyoming
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