Benefit Compliance Specialist Jobs in Portsmouth

Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..

Description The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report information for end-users using system tools and databases. The Data and Reporting Professional 2 work ..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Portsmouth New Hampshire Description Humana is looking for an experienced Healthcare Investigator to join its ..

Job Description Health is everything. At CVS Health we are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we're helping people on their ..

... delivery of patient care in compliance with standards outlined in the ... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... and initiate as appropriate. Ensure..

... Information Humana Actuary, Risk and Compliance in Portsmouth New Hampshire Description ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..

Job Information Humana Director, Campaign Management & Personalization in Portsmouth New Hampshire Description Humana is seeking a Director, Campaign Management & Personalization who will be responsible for the leadership and day-to-day ..

Description The Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..

Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of ... of utilization management in the Compliance department. The UM Administration Coordinator ... Humana. Join Us! The UM Compliance..

Job Information Humana Lead Cloud Advocate in Portsmouth New Hampshire Description Humana Cloud Adoption Services team is looking for a Lead Technology Leadership Professional responsible to deliver new technological solutions coordinating ..

WalgreensnJob DescriptionOpens and closes the store in the absence of store management, including all required systems start-ups, required cash handling, and ensuring the floor and stock room are ready for the ..

WalgreensnJob DescriptionJob ObjectivesMaximizes sales and brand awareness by providing exceptional customer care to all customers in a friendly, efficient, and professional manner; gives impartial, personalized, expertise and advice regardless of brand ..

Description The Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..

Benefits Manager And Human Resources Specialist The candidate will manage the ... manage the firm’s comprehensive health benefit programs, including as well the ... 401(k) plan, tuition reimbursement and compliance..

Job Information Humana FP&A Lead, Medicaid Market in Portsmouth New Hampshire Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status.u003cbru003eu003cbru003e**This ..

Job Information Humana Senior Integration Specialist - Cloud in Portsmouth New Hampshire Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between ..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..

WalgreensnJob DescriptionOpens and closes the store in the absence of store management, including all required systems start-ups, required cash handling, and ensuring the floor and stock room are ready for the ..

Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Description The Lead, IT Compliance assesses the most complex new ... practice frameworks. The Lead, IT Compliance works on problems of diverse ... to substantial. Responsibilities The IT Compliance Lead..