Commercial Compliance Manager Jobs in New Mexico

Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Albuquerque ... New Mexico Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

HSC Compliance Manager The candidate will be facilitating ... The candidate will be facilitating compliance metrics/reporting, overseeing sanction checks, maintenance ... advice on investigations, and providing compliance related training. Oversee..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The Senior Product Manager - Fully Insured supports strategy ... business. Responsibilities The Senior Product Manager supports all phases of the ... innovative product strategy in the commercial segment..

Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Albuquerque New Mexico Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..

Description The Product Manager 2 - Fully Insured Medical ... Group business. Responsibilities The Product Manager 2 - Fully Insured Medical ... the desired outcomes. The Product Manager 2 -..

Constellis was established in 2010 by a group of operators and investors who sought to combine best-in-class brands, assets and people within the complex risk management industry. Today, the leading provider ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

... within a context of regulatory compliance, and work is assisted by ... sources. Medical Directors will learn Commercial requirements and will understand how ... their daily work. Responsibilities Title:..

Senior Manager Compliance Programs, Corporate Functions Duties: The ... team that maintains and enhances compliance program components, including, but not ... Lead identification and assessment of compliance program risks and..

Senior Manager, International Compliance and Reporting Services Duties: The candidate will work within an engagement team and draw on experience in accounting and taxation to provide tax compliance and consulting services ..

... human resources, labor relations, and compliance/records management functions performed for the ... budget, and other resources. Ensures compliance with Department of Energy (DOE) ... on employment matters to ensure..

... human resources, labor relations, and compliance/records management functions performed for the ... budget, and other resources. Ensures compliance with Department of Energy (DOE) ... on employment matters to ensure..

Manager, International Compliance and Reporting Services Duties: Conduct design sessions with the client to understand and document the requirement definition for the system. Assign activities and tasks to the project team. ..

Senior Manager Compliance Programs Duties: Manage a team ... team that maintains and enhances compliance program components. Provide support, coaching, ... annual performance evaluations. Research regulatory compliance requirements and develop..

Description The Product Manager 2 – Level Funded Portfolio ... Group business. Responsibilities The Product Manager 2 Level Funded Portfolio / ... the desired outcomes. The Product Manager 2 will..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..

... within a context of regulatory compliance, and work is assisted by ... sources. Medical Directors will learn Commercial requirements and will understand how ... their daily work. Responsibilities Title:..

Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Compliance Manager The candidate will be responsible ... Managing and supervising four (4) Compliance Specialists (investigators). Ensuring data compliance for timely complex investigations and ... internal claims. Monitors and audits..

HSC Manager,Compliance Duties: Provide an opportunity for ... quality health care. Implementing enterprise-wide compliance and HIPAA related initiatives and ... initiatives and ensures that enterprise compliance functions are being performed..

... within a context of regulatory compliance, and work is assisted by ... will learn Medicare, Medicaid, and Commercial requirements and will understand how ... by other healthcare professionals in..