Senior Compliance Specialist — Specialty Pharmacy
Blue Cross of Idaho
Blue Cross of Idaho is looking for a Compliance Specialist II to enhance our compliance program with a focus on specialty pharmacy and patient care regulatory oversight. This position demands experience in payer compliance, pharmacy, or clinical operations, along with a Bachelor's degree or equivalent experience. The Compliance Specialist will perform regulatory analysis, audits, risk assessments, and compliance education, collaborating with various business owners to ensure adherence to regulations. A robust benefits package includes paid time off, health insurance, and a 401(k) matching plan. #J-18808-Ljbffr Blue Cross of Idaho
- Blue Cross of Idaho is seeking a Compliance Specialist II to oversee compliance in specialty pharmacy services. The role involves regulatory analysis, auditing, and compliance education. The ideal candidate will have 4+ years of experience in payer compliance or pharmacy...Senior
$86.3k - $118.7k
...caring community The Senior Clinical Operations... ...planning support for Specialty-related initiatives or... ...nurses, behavioral health specialists and more, spend up to... ..., hospice and retail pharmacy, CenterWell is focused... ...affirmative action, in compliance with Section 503 of...SeniorFull timeTemporary workApprenticeshipRemote workWork from homeHome office$143k - $243k
A leading pharmacy benefits manager is seeking a Senior Principal Actuary to provide actuarial direction and strategic consulting. This remote position demands 10 years of actuarial experience and a strong understanding of pricing strategies. The ideal candidate will excel...SeniorRemote work$70.6k - $141.2k
...Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system...SeniorTemporary workFlexible hours$78.06k - $117.1k
...Compliance Specialist II The Compliance Specialist II is responsible for supporting the organization... ...program with a primary focus on specialty pharmacy and patient care regulatory... ...certifications, relevant experience, skills, seniority, performance, travel requirements,...SuggestedTemporary workWork experience placementLocal area$107k - $182k
A leading semiconductor firm seeks a Specialty Gas Engineer in Boise, Idaho. You will develop and maintain system designs for high-purity gas systems, guiding site teams and enhancing system reliability. The ideal candidate has over 10 years of experience and a Bachelor...Senior$143k - $243k
...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. Senior Principal Actuary - REMOTE Job Description The Senior Principal Actuary is responsible for providing actuarial direction...SeniorWork experience placementLocal areaRemote workVisa sponsorshipWork visa- ...truly a great place to work. Overview: The Pharmacy Benefits Specialist assists our members in identifying and navigating complex... ...that situation. Apply in-depth knowledge of high-cost specialty medications, the applicable pharmaceutical regulations, and...Senior
- ...human connection. Our consultants don't just guide clients through compliance challenges; they become trusted partners helping sterile drug... ...safety, you'll love consulting at Parexel.Position OverviewThe Senior / Principal Regulatory Compliance Consultant serves as a high-...SeniorRemote workWorldwide
$200.4k - $343.5k
...connecting people with the care, pharmacy benefits, data and resources... .... Growing together. The Senior Vice President, Value-Based... ...coordination and outcomes Ensure Compliance & Integrity: Maintain audit-... ...utilization Post-acute, specialty and site-of-care optimization...SeniorMinimum wageFull timeWork experience placementLocal area$74k - $118k
...career? Come build the future of pharmacy with us. Job Posting Title Pharmacy Network Consultant Senior - Remote Job Description The... ...of Prime's retail, mail, specialty and quality-based pharmacy networks... ..., contracting gaps and compliance with regulations Represent Network...SeniorContract workWork experience placementLocal areaRemote workVisa sponsorshipWork visa$89.17k - $142.68k
...Job Description Acts as a senior member of the strategic function by contributing... ...innovation-based goals through new forms of pharmacy reimbursement, healthcare redesign... ...Proactively identify, analyze, and evaluate specialty pharmacy market dynamics, including drug...SeniorContract workWork at officeLocal areaRemote workFlexible hours2 days per week$66k - $106k
...Therapeutics in Boise, Idaho is seeking a Provider Relations Analyst Sr (Pharmacy Contracting). This remote role will oversee contracting... .... Key responsibilities include handling inquiries, ensuring compliance, and maintaining relationships with pharmacy providers. A...SeniorRemote work$74k - $118k
...A leading pharmacy benefit management company is seeking a Senior Pharmacy Network Consultant to manage and develop various pharmacy networks. This remote... ...agreements, managing vendor contracts, and ensuring compliance with regulations. The ideal candidate has significant...SeniorRemote workFlexible hours$89k - $121.4k
...caring community The Senior Business Intelligence Engineer... ..., behavioral health specialists and more, spend up to 50... ...integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on... ...take affirmative action, in compliance with Section 503 of the...SeniorFull timeTemporary workApprenticeshipRemote work$94k - $160k
...Pharmacy Network Consultant Principal – RemoteJob DescriptionThe Network Management Consultant... ..., and ensuring contract and regulatory compliance. This position is accountable for... ...between Prime's Network Management and Specialty teams.ResponsibilitiesNegotiate market competitive...Contract workWork experience placementLocal areaRemote workWork visa$25.48 - $60.63 per hour
...Oracle Health Principal Consultant - Inpatient/Outpatient Pharmacy United States Job Identification: [Unique ID] Job Category... ...and understand integrated pharmacy solution components, specialty workflows, and complex cross-functional processes that directly...SeniorHourly payTemporary workWork experience placementLocal areaRelocationFlexible hours$78.06k - $117.1k
Our Cybersecurity Compliance Specialist will help lead implementation and ongoing management of the... ..., relevant experience, skills, seniority, performance, travel requirements, internal... ...self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory...Temporary workWork experience placementInterim roleLocal areaRemote workWork from home- Transportation Compliance Service in Meridian, ID, is seeking a Compliance Specialist to assist trucking companies in launching their new businesses. This full-time position involves contacting companies that request help and offering essential support. The role provides...Hourly payFull timeMonday to Friday
- ...FDT) is one of the largest coating and specialty contractors in the United States with offices... ...Job Summary As our nightshift Site EHS Specialist, you will be responsible for conducting... ...conditions meet safety, health, and compliance standards. This role requires...Hourly payFull timeFor contractorsWork at officeNight shiftWeekend workAfternoon shiftEarly shift
- ...scenarios that align with global regulatory expectations and business objectives.Collaborate closely with cross-functional teams and senior leadership to drive clarity, alignment, and accountability for regulatory deliverables, timelines, and interdependencies.Facilitate...SeniorWork at officeWork from homeWorldwide
$108k - $184k
...A leading pharmacy benefits management company is seeking a Principal Systems Engineer specializing in Microsoft 365 and Azure. In this remote position, you'll influence and drive innovation across enterprise technology, collaborating with key stakeholders to shape strategic...Remote work- ...clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities...Private practice
$94k - $160k
...career? Come build the future of pharmacy with us.Job DescriptionThe Senior Program Manager is accountable for... ...(CMS) and ensuring organizational compliance with CMS interoperability mandates... ...work experience in healthcare, PBM, specialty pharmacy, or health care...SeniorWork experience placementWork at officeLocal areaRemote workVisa sponsorshipWork visa$142.3k - $195.7k
...partnering with the most senior leaders across the enterprise... ..., behavioral health specialists and more, spend up to 50... ...integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on... ...take affirmative action, in compliance with Section 503 of the...Full timeTemporary workApprenticeshipRemote work$81k - $138k
...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. Senior HRIS Analyst - Workday (Remote) We're looking for a strong candidate to help strengthen Prime Therapeutics' HR technology...SeniorWork experience placementLocal areaRemote workVisa sponsorshipWork visa$157.5k - $233.6k
...is currently initiating a search for a Senior Project Manager/Team Leader to join our... ...including architectural, engineering, and specialty consultants Oversee project planning, scheduling... ...while ensuring quality, safety, and compliance with WSP standards Mentor and support...SeniorLocal area$126.3k - $173.7k
...Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist monitors drug... ...edits and/or clinical coverage policies for pharmacy and medically administered drug products... ...Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation...SeniorFull timeTemporary workApprenticeshipRemote workHome office$35.15 - $51.25 per hour
...facilities projects, including potable water, sanitary, storm, and specialty systems. Prepare detailed drawings and cost estimates using... ...-specific and internal drafting standards to ensure full compliance and consistently high-quality deliverables. Collaborate with...SeniorHourly payLocal areaFlexible hours- Micron Memory Malaysia Sdn Bhd is hiring a Senior / Principal DRAM Product Development Engineer in Boise, Idaho. This role involves designing and verifying memory, logic, and analog circuits, alongside enabling new process nodes and collaborating with multiple teams for...Senior
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