oversight

  • Encrypted
    Site is Encrypted

  • Country
    Hosted in United States

  • Traffic rank
    #152,668 Site Rank

  • Site Owner information
    Whois info

Traffic rank
#152,668
Site age
Location
United States
Newest job postings for oversight
via Greenhouse posted_at: 5 days agoschedule_type: Full-time
Position Summary: The Associate Director, Monitoring Oversight, is responsible for providing the strategy and oversight for all clinical monitoring activities as performed by CRO monitors for Apellis clinical trials in accordance with the Clinical Monitoring Plans, Protocol, ICH/GCP guidelines, and other associated/related documents. The Associate Director, Monitoring Oversight, will work... cross-functionally with internal and external stakeholders Position Summary:

The Associate Director, Monitoring Oversight, is responsible for providing the strategy and oversight for all clinical monitoring activities as performed by CRO monitors for Apellis clinical trials in accordance with the Clinical Monitoring Plans, Protocol, ICH/GCP guidelines, and other associated/related documents. The Associate Director, Monitoring Oversight, will work... cross-functionally with internal and external stakeholders to ensure ongoing inspection readiness and monitoring quality. The Associate Director, Monitoring Oversight, will serve as a key driver in developing processes, documents, and SOPs related to monitoring activities. In addition, this position will continue to build and fully develop the Apellis monitoring and oversight program.

Key Responsibilities Include:
• Responsible for developing the strategy and leading oversight of clinical monitoring activities as performed by a Contract Research Organization (CRO) or internally for all Apellis programs.
• Work cross-functionally with internal and external stakeholders to ensure ongoing inspection readiness and monitoring quality.
• Act as a Subject Matter Expert and resource for the study teams on monitoring related processes.
• Develop, execute, and manage the Clinical Monitoring Oversight Plan, in collaboration with the clinical trial team, and ensure compliance.
• Manage/oversee third party vendor(s) providing monitoring oversight services, as applicable.
• Generate, utilize, and oversee metrics and tools to ensure the trial monitoring activities are conducted in accordance with applicable regulations, SOPs, and trial objectives.
• Review monitoring oversight visit reports for quality and identification of trends at the site, trial, and program level; communicate trends, metrics and significant findings with the CRO trial team(s) and senior management.
• Conduct Apellis team training including development and implementation of monitoring-related training materials and tools.
• Develop and oversee the internal process of monitoring visit report review by trial teams and visit report finalization metrics to ensure compliance with applicable plans.
• Train internal team members on monitoring oversight processes and associated documents.
• Review and provide input on Clinical Monitoring Plans.
• Proactively identify trends, issues, and risks related to monitoring and monitoring processes/plans.
• Manage/resolve monitoring issues including appropriate retraining, issue escalation, and/or implementation of corrective and preventive actions, as needed.
• Responsible for contributing to the development, implementation and oversight of the Apellis Risk-Based Monitoring program, and incorporating industry best practices.
• Responsible for informing trial teams and management of key developments within the industry pertaining to monitoring and monitoring oversight.
• Manage, mentor, and provide oversight of direct report(s), as applicable.
• Participate in department and company initiatives such as process improvements and SOP development.
• Take initiative and take on other related duties to help move the organization forward.

Education, Registration & Certification:
• B.S/B.A. degree is required. Science/health care related field preferred but not required.

Experience:
• 8+ years of experience in a clinical monitoring role (field monitoring experience required) or equivalent
• 4+ years’ experience in a lead clinical monitoring or CRA manager role, project/trial management position, or equivalent.
• Experience in a monitoring oversight role preferred.
• Experience working in a risk-based quality operating model preferred

Skills, Knowledge & Abilities:
• Proven ability to work in a fast-paced environment with demonstrated ability to prioritize and manage multiple competing tasks while maintaining timelines and ensuring overall quality and integrity.
• Critical thinker, proactive and self-motivated.
• Provide creative solutions when faced with unique problems/emerging situations.
• Be an open, available, and transparent communicator.
• Strong interpersonal skill set necessary to create and maintain internal and external collaborator relationships.
• Facilitates productive dialogue that empowers others to share input/recommendations/perspective.
• Highly developed written and verbal communication skills, including ability to effectively articulate highly technical/complex concepts to audiences with differing levels of experience.
• Demonstrated ability to effectively navigate and manage within a matrixed organization including effective change management.
• Demonstrated ability to inspire, motivate and mentor teams.
• Ability to establish relationships with internal collaborators.
• Ability to translate a design strategy into an operating framework.
• A thorough understanding of ICH/GCP guidelines.

Physical Demands and Work Environment:
• This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, open filing cabinets. This job operates in a professional office environment and routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Travel Requirements:
• Up to 20% travel expected.

Benefits and Perks:

Apellis offers a great benefit package which includes: health insurance with full premium coverage, 401K with company match, paid time off (PTO), long- term disability insurance, life insurance and more! Visit https://apellis.com/careers/ to learn more.

Company Background:

Apellis Pharmaceuticals, Inc. is a global biopharmaceutical company that combines courageous science and compassion to develop life-changing therapies for some of the most challenging diseases patients face. We ushered in the first new class of complement medicine in 15 years and now have two approved medicines targeting C3. These include the first and only therapy for geographic atrophy, a leading cause of blindness around the world. With nearly a dozen clinical and pre-clinical programs underway, we believe we have only begun to unlock the potential of targeting C3 across many serious diseases.

For more information, please visit http://apellis.com or follow us on Twitter and LinkedIn

EEO Statement:

Apellis is an equal opportunity employer and complies with all applicable federal, state and local fair employment practices laws. Apellis strictly prohibits and does not tolerate discrimination against employees, applicants or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy), gender (including gender nonconformity and status as a transgender or transsexual individual), age, physical or mental disability, citizenship, past, current or prospective service in the uniformed services, genetic information, marital status, AIDS/HIV status, smoker/nonsmoker, and occupational pneumoconiosis or any other characteristic protected under applicable federal, state or local law.

For San Francisco postings: Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice
Show more details...
via ZipRecruiter posted_at: 5 days agoschedule_type: Full-time
Position Summary... What you'll do... Join the Walmart Health & Wellness Compliance team to support the growth and development of Walmart Health! Reporting to the Senior Manager of Coding Oversight - Health and Wellness, the Manager, Coding Oversight will provide auditing and monitoring support for Fee for Service (FFS) and Value Based Care coding to ensure efficiency while achieving consistency and accuracy. The Manager, Coding Oversight will be Position Summary...

What you'll do...

Join the Walmart Health & Wellness Compliance team to support the growth and development of Walmart Health! Reporting to the Senior Manager of Coding Oversight - Health and Wellness, the Manager, Coding Oversight will provide auditing and monitoring support for Fee for Service (FFS) and Value Based Care coding to ensure efficiency while achieving consistency and accuracy. The Manager, Coding Oversight will be responsible for streamlining workflows by transferring coding audit responsibilities. The Manager, Coding Oversight will be responsible for auditing and monitoring internal coders and 3rd party spend to lower levels.

The Manager, Coding Oversight will help business partners to understand business strategies and identify potential compliance risks associated with them and establishing effective controls and compliance oversight related to those risks.

Specific functional responsibilities of the Manager, Coding Oversight will include auditing and monitoring to support the Fee or Service (FFS), Telehealth, and Value Based Care Coding Oversight Program; specifically retrospective and verification coding audits, to achieve quality and accurate billing and coding of claims based on supported documentation in the medical records. The Manager, Coding Oversight will maintain compliance and integrity of billing and coding in accordance with CMS/AMA, ICD-10-CM, CPT, and HCPCS guidelines.

What you'll do....
• Conduct timely and accurate coding reviews(s) for multiple lines of business for accuracy of ICD -10, DSM, Modifier, and CPT, HCPCS, CDT procedures
• Ensure documentation is complete and supports assigned diagnosis and procedure codes
• Operate as Subject Matter Expert to assist with questions and provide clarification related to documentation and coding
• Prepare reports for management on findings, highlight patterns, trends, and coding opportunities for improvement
• Perform coding and billing processes in accordance with Walmart Health policies and standard operating procedures

What you'll bring....
• AAPC or AHIMA Coding Certification (CPC, CRC, CCS-P, CPMA) - (preferred)
• Medical coding experience to include ICD-10 coding
• Knowledge of CMS, ICD-10, and AMA coding guidelines to include local and national coverage determinations (preferred)
• Auditing experience (preferred)
• Dental or VBC coding experience (preferred)

The above information has been designed to indicate the general nature and level of work performed in the role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. The full Job Description can be made available as part of the hiring process.

Benefits & Perks:

Beyond competitive pay, you can receive incentive awards for your performance. Other great perks include 401(k) match, stock purchase plan, paid maternity and parental leave, PTO, multiple health plans, and much more.

Equal Opportunity Employer

Walmart, Inc. is an Equal Opportunity Employer - By Choice. We believe we are best equipped to help our associates, customers and the communities we serve live better when we really know them. That means understanding, respecting and valuing diversity- unique styles, experiences, identities, ideas and opinions - while being inclusive of all people.

Who We Are

Join Walmart and your work could help over 275 million global customers live better every week. Yes, we are the Fortune #1 company. But you'll quickly find we're a company who wants you to feel comfortable bringing your whole self to work. A career at Walmart is where the world's most complex challenges meet a kinder way of life. Our mission spreads far beyond the walls of our stores. Join us and you'll discover why we are a world leader in diversity and inclusion, sustainability, and community involvement. From day one, you'll be empowered and equipped to do the best work of your life. careers.walmart.com

Minimum Qualifications...

Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.

Preferred Qualifications...

Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.

Primary Location...
2608 Se J St, Bentonville, AR 72716-3724, United States of America
Show more details...
via Walmart Careers schedule_type: Full-time
Position Summary... What you'll do... Communicates with internal and external contacts to resolve issues by researching bill review and reporting them to management ; analyzing and evaluating coding selections to determine discrepancies; drafting communication to request additional information from payers and government agencies to ensure accurate completion of bills; and communicating complex coding edits to providers and Health and Wellness Billing Position Summary...

What you'll do...

Communicates with internal and external contacts to resolve issues by researching bill review and reporting them to management ; analyzing and evaluating coding selections to determine discrepancies; drafting communication to request additional information from payers and government agencies to ensure accurate completion of bills; and communicating complex coding edits to providers and Health and Wellness Billing department.
Ensures accurate medical coding for Health and Wellness billing data by reviewing information (for example, medical records, American Medical Association guidelines, current procedural terminology codes, state medical fee schedules) to assign appropriate coding of services billed based on program attributes ; reviewing system calculations for accuracy regarding multiple states' rules and regulations ; interpreting coding requirements and applying them to Health and Wellness programs; integrating coding changes into Health and Wellness billing processes and systems; applying valid contracted discounts; and identifying duplicate billings to avoid overpayments and reconsiderations.
Serves as the subject matter expert for medical coding by researching and monitoring changes in national medical coding standards and requesting associated materials ; providing guidance to senior leadership on proper coding procedures and system needs; determining changing requirements for medical coding; implementing and communicating system changes; working with external suppliers to ensure proper code usage ; collaborating with billing compliance to mitigate risks associated with coding selection; and attending continuing education classes and off site seminars to maintain certifications. Demonstrates up-to-date expertise and applies this to the development, execution, and improvement of action plans by providing expert advice and guidance to others in the application of information and best practices; supporting and aligning efforts to meet customer and business needs; and building commitment for perspectives and rationales. Provides and supports the implementation of business solutions by building relationships and partnerships with key stakeholders; identifying business needs; determining and carrying out necessary processes and practices; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and adapting to competing demands, organizational changes, and new responsibilities. Models compliance with company policies and procedures and supports company mission, values, and standards of ethics and integrity by incorporating these into the development and implementation of business plans; using the Open Door Policy; and demonstrating and assisting others with how to apply these in executing business processes and practices.
Live our Values
Culture Champion
• Models the Walmart values to foster our culture; holds oneself accountable; and supports Walmart’s commitment to communities, social justice, corporate social responsibility, and sustainability; maintains and promotes the highest standards of integrity, ethics and compliance.
Servant Leadership
• Is consistently humble, self-aware, honest, and transparent.
Embrace Change
Curiosity & Courage
• Demonstrates curiosity and a growth mindset; supports innovation and intelligent risk-taking; and exhibits resilience in the face of setbacks.
Digital Transformation & Change
• Implements and supports continuous improvements and willingly embraces new digital tools and ways of working.
Deliver for the Customer
Customer Focus
• Delivers results while putting the customer first and applying an omnimerchant mindset and the EDLP and EDLC business models to all plans.
Strategic Thinking
• Adopts a broad perspective that considers data, analytics, customer insights, and different parts of the business when making plans.
Focus on our Associates
Diversity, Equity & Inclusion
• Embraces diversity in all its forms and actively supports diversity of ideas and perspectives, as well as diversity goal programs.
Collaboration & Influence
• Builds strong and trusting relationships with team members and business partners; works collaboratively to achieve objectives; communicates with
impact to a range of audiences; and demonstrates energy and positivity for own work.
Talent Management
• Contributes to an environment allowing everyone to bring their best selves to work, demonstrates engagement and commitment to the team, and recognizes others’
contributions and accomplishments.

Minimum Qualifications...

Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.

Preferred Qualifications...

Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.

Primary Location...
603 MUNGER AVE STE 400, DALLAS, TX 75202, United States of America
Show more details...