Compliance Analyst Regulatory Supervision Jobs

Description The Pharmacy Claims Lead - Overpayment works on problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Claims Lead will lead the development and implementation for ..

Description The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of ... moderate to substantial. Responsibilities The Compliance Lead (SNP) develops and implements .....

... to drive operational excellence, advance compliance results, and improve audit readiness. ... design, deliver, and drive internal compliance measures through the implementation of ... state and federal legislative and..

... - Career Framework, Market Analysis, Regulatory in Cincinnati Ohio Description The ... of any new pay related Regulatory/Legislative changes; recommend and implement necessary ... necessary program/process changes to ensure..

... include meeting Federal and State regulatory sales oversight requirements. The person ... operating standards and to reduce regulatory risk. This person will assist ... duties and works under minimal..

Description The Compliance Lead ensures compliance with governmental requirements and works ... include: Responsible for effectiveness of compliance program which includes metrics, reporting, ... process improvements and automation to compliance..

Description The Lead, IT Compliance assesses the most complex new ... systems procedures follow corporate standards, regulatory requirements, and best practice frameworks. ... practice frameworks. The Lead, IT Compliance works..

... Improvement Professional is knowledgeable of regulatory and compliance guidelines specifically as it relates ... accurately on matters such as regulatory guidelines, updates, and the impacts ... related tasks, works..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of ... & Analytics to ensure continued compliance through innovative product offerings and ... and..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of ... moderate to substantial. Responsibilities The Compliance Lead develops and implements compliance policies and..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Job Information Humana Market Network Operations Lead (Behavioral Health) - KY Medicaid in Cincinnati Ohio Description The Behavioral Health Network Operations Lead will be our Subject Matter Expert on Kentucky Medicaid ..

Description The Network Operations Lead maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Network Operations Lead ..

... tasks, and works under minimal supervision. The Lead uses independent judgment ... governance, vendor management, disaster recovery, compliance, and first line risk management ... environment. Coordinates with privacy and..

Description The Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans ..

... are aligned with industry and regulatory IT standards and overall IT ... cyber consulting, risk assessments and compliance audits, the testing for possible ... tasks, and works under minimal..

Job Information Humana Market Network Operations Lead (Behavioral Health/Medicaid)) in Cincinnati Ohio Description The Behavioral Health Network Operations Lead will be our Subject Matter Expert on Ohio Medicaid Behavioral Health. Responsibilities ..

Description The Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans ..

Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..

Job Information Humana Compliance Lead - Remote in Cincinnati ... in Cincinnati Ohio Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....

... to work independently with minimal supervision Equal Opportunity Employer Click here ... ADR Center Ancillary Services Dinsmore Compliance Services DSD Advisors, LLC Mercantile ... Private Placements Public Company Reporting,..

Description The Compliance (UM) Coordinator 3 conducts and ... Coordinator 3 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 3 performs advanced ... monitoring and promoting operational and regulatory..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of ... moderate to substantial. Responsibilities The Compliance Lead develops and implements compliance policies and..