Compliance Legal Analyst Jobs in Campbell

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 Sr. DevOps Cloud Engineer in Campbell California Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps workstyle ..

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

Legal Counsel, Technology and Privacy The candidate will assist with a range of privacy, data protection and security-related matters as well as draft and negotiate agreements with providers and partners in ..

Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..

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 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 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 ..

... business partners. These processes support compliance initiatives, new contracting strategies, and ... performance, business case realization, or compliance. Provider Process also supports business ... Group (PPG), Service Fund, Directories,..

... and negotiation of contracts, and legal consultation on new initiatives and ... consultation on new initiatives and compliance issues. Address professional liability matters, ... issues, and regulatory matters. Conduct..

Corporate Legal Counsel The candidate will provide ... on related healthcare regulatory and compliance matters. Provide timely legal advice and contract turnaround to ... Review commercial programs to ensure compliance..

Patent Prosecution Attorney The candidate will be responsible for patent drafting and prosecution primarily in software and network technology. Should be registered before the USPTO as a patent attorney and admitted ..

Associate Attorney The candidate should have a background in Workers' Compensation legal defense. Tech savvy and proficient in Microsoft Word and Outlook. Be a member of the California State Bar in ..

Job Information Humana Storage Administrator- Storage and Backup in Campbell California Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same mantra, ..

District Attorney The candidate must have excellent academic credentials. Deadline: January 2, 2023...

... of supporting operational contracts, and legal consultation on new initiatives and ... consultation on new initiatives and compliance issues. Negotiate, draft, and review ... or other members of the..

Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..

Assistant General Counsel, Home Solutions Duties: Provide strategic advice and counsel on operational and regulatory matters, as well as guidance on issues arising in the day-to-day functionality of Humana’s Home Solutions ..

Description The Associate Actuary, Pricing is responsible for setting pricing assumptions and submitting bids. Supports implementation of rates, new plans and benefit changes. Provides guidance to Product Development on new product/benefit ..

Description The Cloud Architect 2 leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Cloud Architect 2 work assignments are varied and frequently require ..

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 ..

Staff Attorney The candidate should have excellent academic credentials...

Campbell office of a BCG Attorney Search Top Ranked Law Firm seeks a patent prosecution attorney. The candidate will be responsible for patent drafting and prosecution primarily in software and network ..