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... two are described here: The Specialist/Manager Regulatory Operations contributes to the ... with other departmental representatives. The Specialist/Manager Regulatory Operations is responsible for ... draft and final documents. The..
Senior Casualty Claim Specialist The candidate will Day to day handling of an inventory of approximately 135 personal and/or commercial liability claims, largely comprised of claims involving moderate to high exposures ..
... you. Responsibilities The Senior IT Compliance Professional works with all parts ... information systems procedures are in compliance with industry and corporate standards. ... track and manage Risk and..
**Careers that Change Lives** Bring your talents to an industry leader in medical technology and healthcare solutions were a market leader and growing every day. You can be proud to sell ..
... Humana Lead, IT Risk and Compliance - Business Managed Technology in ... The Lead, IT Risk and Compliance - Business Managed Technology is ... - UDOIT) Governance, Risk and..
Job Information Humana UM Medical Director - Conviva in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Job Information Humana Director, Campaign Management & Personalization in Jersey City New Jersey Description Humana is seeking a Director, Campaign Management & Personalization who will be responsible for the leadership and ..
Job Information Humana Lead Cloud Advocate in Jersey City New Jersey Description Humana Cloud Adoption Services team is looking for a Lead Technology Leadership Professional responsible to deliver new technological solutions ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Jersey City New Jersey Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..
Job Information Humana Medical Director - S. Florida in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Job Information Humana Accountant 2 - Humana Pharmacy in Jersey City New Jersey Description The Accountant 2 performs accounting activities, including the preparation, maintenance and reconciliation of ledger accounts and reviews ..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... reviews utilization management activities and documentation to ensure adherence to policies, ... waste, and abuse. The Supervisor, Compliance Nursing works..
Job Information Humana Medical Director - Florida Medicaid in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Job Information Humana LEAD QUALITY TECHNOLOGY LEADER - IT Security (Work at Home/Fully Remote) in Jersey City New Jersey Description If you run toward knowledge and problem-solving, join us! The Quality ..
Job Information Humana Senior Integration Specialist - Cloud in Jersey City ... Job Posting Title Senior Integration Specialist Job Description Summary The Senior ... and communication between development, security, compliance,..
... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..
Job Information Humana Medical Director - National Medicare Team in Jersey City New Jersey Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director ..
Job Information Humana Supervisor, UM Administration-Remote in Jersey City New Jersey Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines ..
Job Information Humana Vendor Management Specialist 3 in Jersey City New ... Jersey Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..
Job Information Humana Medicare Appeals and Grievance Medical Director in Jersey City New Jersey Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for ..
... Information Humana Actuary, Risk and Compliance in Jersey City New Jersey ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..
Job Information Humana FP&A Lead, Medicaid Market in Jersey City New Jersey Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South ..