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Description The Actuary, Risk and Compliance is responsible for the overall ... risks. The Actuary, Risk and Compliance works on problems of diverse ... Responsibilities The Actuary, Risk and Compliance..
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 ..
Job Information Humana Market Network Operations Lead (Behavioral Health) - KY Medicaid in Louisville Kentucky Description The Behavioral Health Network Operations Lead will be our Subject Matter Expert on Kentucky Medicaid ..
... performing normal functions under general supervision. Performs scheduled and unscheduled semi-routine ... and local, state and federal regulatory requirements. Performs cost containment activities ... problems.PRINCIPAL DUTIES AND RESPONSIBILITIES:Under general..
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..
... 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 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 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 ..
... Lead is responsible for monitoring compliance in accordance with government regulations ... as new and revised State regulatory standards. Serve as a resource ... tasks, and works under minimal..
Job Information Humana Senior Risk Compliance Data and Reporting Professional in ... management? As a Senior IT Compliance Professional working in Technology, Strategy, ... next role. The Senior Risk Compliance..
Job Information Humana Compliance Lead- Remote IN or Remote ... in Louisville Kentucky Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....
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 .....
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..
Description The Director HEDIS Production and Quality Analytics takes the lead in driving success for key quality measures development and analytic reporting functions that support Humana Military clinical quality strategies, including ..
Senior Wealth Planning Analyst Duties: The candidate partners with ... Assists in the training and supervision of Wealth Planning Analysts and ... the group, and assist the Analyst Manager with..
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..
... The Lead, Technology and Cybersecurity Compliance designs, maintains and oversees cybersecurity ... The Lead, Technology and Cybersecurity Compliance works on problems of diverse ... The Lead, Technology and Cybersecurity..
... opportunities to minimize risk, ensure compliance with regulations, drive efficient operations, ... are made and facilitate effective compliance and risk awareness. Evaluate, develop, ... Business Operations, Operational Risk Teams,..
Job Information Humana Compliance Lead - Remote in Louisville ... in Louisville Kentucky Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....
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..
... - Career Framework, Market Analysis, Regulatory in Louisville Kentucky Description The ... of any new pay related Regulatory/Legislative changes; recommend and implement necessary ... necessary program/process changes to ensure..