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Senior Director of Compliance
Key Responsibilities Lead the execution of the global compliance program across various business functions Develop and manage the Anti-Bribery and Corruption and Third-Party Risk Management programs Conduct risk assessments and provide support for
New Jersey Licensed Clinical Pharmacist
Responsibilities: Support pharmacy formulary management and medication therapy management programs Handle prior authorization requests and support the utilization management program Assist in managing and training Pharmacy techs and participate in...the Pharmacy Case Management Program Qualifications: Bachelor's degree in pharmacy from an accredited college or university is required Pharm D from an accredited college or university is preferred Up to one to two years Company experience in managed
Operations Program Coordinator
B2G and B2B customers Build operational specifications based on contract requirements and customer needs Communicate with customers as an operational subject matter expert during meetings and training sessions Required Qualifications 2-5 years of program...management or operational contract delivery experience Bachelor's degree in Company, business administration, or a related field Experience in creating strong client relationships Proficiency in Microsoft programs including Word, Excel, and PowerPoint
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Security Compliance Specialist
Key Responsibilities Develop and implement comprehensive security compliance programs and risk management frameworks Ensure compliance with regulatory standards such as HIPAA, GDPR, and ISO 27001, and conduct risk assessments Collaborate with IT,
State Licensed Utilization Management Director
A company is looking for a Director of Utilization Management for the Post-Acute Care Program....Key Responsibilities Oversee Utilization Management activities to ensure positive outcomes and compliance with standards Collaborate with various departments to develop and implement clinical and UM program initiatives Direct performance improvement
Fisheries Processes Specialist
Key Responsibilities Support the planning, implementation, and evaluation of fisheries programs/projects Assist in budget management and financial reporting related to projects Coordinate with beneficiary countries and regional organizations to enhance
Texas Licensed Clinical Pharmacist
A company is looking for a Clinical Formulary Pharmacist - Government Programs....Key Responsibilities Manage formularies, preferred drug lists, and prior authorization criteria in compliance with CMS Medicare Part D guidelines Contribute to the development of reports and participate in formulary analyses and pharmacoeconomic studies
State Licensed Medical Director
Key Responsibilities Implement medical policy and evaluate clinical/medical programs Support Medical Management staff and oversee utilization review/quality assurance Act as a liaison to account teams and Company care providers for effective execution
Care Coordination Specialist
Key Responsibilities Provide administrative support to Case Managers and Care Coordinators in the Case Management program Evaluate and process tasks within the medical management system and manage scheduling and meetings Handle incoming and outgoing
Privacy Compliance Officer
regulations Eight (8) plus years of compliance or risk management experience at large financial institutions, with at least five (5) focused on privacy compliance Five (5) plus years in a people leader role Substantial knowledge and experience in managing...compliance programs and handling regulatory matters
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