Compliance Contract Analyst Jobs

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... for well-being Responsibilities The Senior..

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

Job Information Humana Senior Market Data Professional - Remote in Lima Ohio Description The Senior Market Data Professional provides support to assigned health plan and/or specialty companies relative to Medicare, Medicaid, ..

Description The Senior IT Compliance Professional audits the most complex ... information systems procedures are in compliance with corporate standards. The Senior ... corporate standards. The Senior IT Compliance Professional..

Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..

Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the ... Lima Ohio Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental ... and governmental requirements. The..

Job Information Humana Value-Based Strategies - CMS Programs Strategy Lead - Remote in Lima Ohio Description Value-Based Strategies - CMS Programs Strategy Lead will support Humana through successful participation in CMS/CMMI ..

Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..

Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator manages claims operations that involve ..

Job Information Humana Market Development Advisor in Lima Ohio Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, ..

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

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Lima Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..

Job Information Humana Network Optimization Lead (OH Medicaid) - Remote, Ohio in Lima Ohio Description The Network Optimization Lead, Ohio Medicaid, is responsible for driving network optimization and value, while also ..

... business partners. These processes support compliance initiatives, new contracting strategies, and ... performance, business case realization, or compliance. Provider Process also supports business ... to: IT, Credentialing Operations, Provider..

Job Information Humana Senior Cloud Security Engineer (virtual remote) in Lima Ohio Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..

Job Information Humana Senior Market Development Professional in Lima Ohio Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicaid product ..

Description The Network Optimization Lead oversees various efforts involving highly complex data analysis and consultation projects/contracts. The Network Optimization Lead works on problems of diverse scope and complexity ranging from moderate ..