Associate Director Policy Compliance Jobs in Springfield

Description Reports directly to the Vice President, Medical Management Operations and serves as a member of the HGB Executive Committee. Leads functions related to HGB's Care Management programs to include predictive ..

Description The Associate Director, Network Engineering designs, analyzes, plans ... customer communication implementation activities. The Associate Director, Network Engineering requires a solid ... capabilities interrelate across department(s). Responsibilities Associate Director..

Description The Associate Director, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... the clinical delivery process. The Associate Director,..

Description The Director, Provider Reimbursement is responsible for ... team of associates. Responsibilities The Director, Provider Reimbursement develops and executes ... include the development of reimbursement policy and processes and..

Job Information Humana Director, Enterprise Architecture in Springfield Missouri Description Director, Enterprise Architecture Practices will lead the development of architecture principles, patterns, standards and reference materials to enable the creation of ..

Description The Director, Market Development provides support to ... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. ... federal contract application submissions. The Director, Market Development requires..

Description The Associate Director, Data Use Protection Engineering Innovation ... software engineering, legal, risk, and compliance. What You'll Do: You will ... the outset to meet growing compliance and user..

Description Humana is an $80 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Springfield Missouri Description ... in Springfield Missouri Description The Associate Director, Compliance Nursing reviews utilization management activities ... fraud, waste, and..

Description The Director, Workforce Management applies and integrates ... management, diversity and human resource compliance). The Director, Workforce Management requires an in-depth ... also with vendor partners. The Director, Workforce..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Springfield ... in Springfield Missouri Description The Associate Director, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The..

Description The Director, IT Compliance audits the most complex new ... information systems procedures are in compliance with corporate standards. The Director, IT Compliance requires an in-depth understanding of .....

... and Risk Adjustment National Medical Director in Springfield Missouri Description The ... corporate strategic initiatives. Responsibilities The Associate Vice President (AVP), Stars and ... and Risk Adjustment National Medical..

Description The Associate Director, Cyber Data Protection Management develops ... e-commerce and web-based systems. The Associate Director, Cyber Data Protection Management requires ... capabilities interrelate across department(s). Responsibilities Associate Director,..

Description The Associate Director will lead the Application Modernization ... deliver on end-to-end execution. The Associate Director requires a solid understanding of ... software engineering delivery experience. The Associate Director..

Job Information Humana Associate Director, Provider Data Interoperability in Springfield ... Provider Medicaid operational business. The Associate Director, Provider Data Interoperability plans, coordinates ... Responsibilities The Provider Data Interoperability Associate..

... Catalog and associated API's as Associate director of Product Management. Applicants should ... of the healthcare industry. Responsibilities Associate Director of Product Management - Enterprise ... future state Enterprise..

... experience and vitality of the associate community. Through offerings anchored in ... professional for the role of Director, Internal Audit. In this role, ... not have responsibility for Sarbanes-Oxley..

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... in Springfield Missouri Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

... promises to key stakeholders. The policy of Humana is to maintain ... associates Lead GMS Risk & Compliance so that the objectives established ... Humana ERM (Enterprise Risk Management)..

Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... as optimizing operational processes...

Job Information Humana Director, Informatics in Springfield Missouri Description ... in Springfield Missouri Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

Job Information Humana Director, Enterprise Architecture Practices in Springfield Missouri Description The Director, Enterprise Architecture creates architecture principals, patterns, standards and reference materials to enable the creation of a comprehensive technology ..