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Senior Compliance Partner - Wealth Management The ... for developing and maintaining a Compliance Management Program for the Bank ... the Bank that reasonably ensures compliance with consumer protection laws..
Description The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on problems of diverse scope and ..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
Job Information Humana Associate Director, Provider Data Interoperability in Troy Michigan Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
Job Information Humana Bilingual Quality Auditor in Troy Michigan Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Job Information Humana HPS Growth Compliance & Risk Management Pharmacy Operations ... substantial. Responsibilities Location: Remote The Compliance & Risk Management Pharmacy Operations ... strategy by supporting risk and compliance..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being ..
Job Information Humana Senior Formulary Operations Management Professional - Distribution Programs in Troy Michigan Description The Senior Distribution Programs Professional provides clinical and operational leadership for the development, maintenance, and publication ..
Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's Provider Medicaid operational business. The Associate ..
... strategy by supporting risk and compliance initiatives across Pharmacy Operations teams. ... Pharmacy Growth channels. As the Compliance & Risk Management Pharmacy Operations ... responsible for identifying operational and..
Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..
Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Description This role will strengthen our Insurance Product Delivery Management Team to drive end-to-end Insurance Product projects cooperating closely with our Product Strategy, Enablement, Finance, IT, Compliance and Sales / Account ..
Description The Manager, Risk Adjustment oversees coding educators ... oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works..
Job Information Humana UM Medical Director - Conviva in Troy Michigan Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
