Compliance Monitoring Systems Jobs in Canton

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

Description The Senior Risk Management Professional identifies, analyzes, and works to mitigate potential sources of risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..

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

... and value, while also managing compliance with network requirements, including network ... proactively identify network issues, ensure compliance with Louisiana Department of Health ... commitments and requirements to ensure..

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

... to drive operational excellence, advance compliance results, and improve audit readiness. ... Design, deliver, and drive internal compliance measures through the implementation of ... across multiple teams to improve..

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

... towards desired outcomes by continuously monitoring care through use of assessment, ... community resources Coordinates services, and monitoring and evaluating the care coordination ... Teams, Excel, PowerPoint, Outlook and..

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Description Title: Dish Washer/Prep Status: Part Time / Non-Exempt Purpose/ Summary: To provide a clean and safe kitchen area for our staff. To wash and clean all plate ware, pots, pans ..

... manage the daily cloud based systems utilizing AWS, Azure, and Google ... and security of cloud based systems. The Engineer is an expert ... with high performing and scaling..

Description The Supply Chain Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA (Drug Supply Chain Security Act) compliance related tasks in support of Humana's Pharmacy inventory receiving operations. ..

... cost avoidance and claims processing systems capable of paying claims in ... Develop and implement claims processing systems capable of paying claims in ... Work with internal resources and..

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Job Information Humana Care Manager, Registered Nurse, RN - Maternity, L&D, Mother Baby in Canton Ohio Description The Field Care Manager assesses and evaluates member's needs and requirements to achieve and/or ..

Job Information Humana Learning Facilitation Professional 2- Remote in US in Canton Ohio Description The Learning Facilitation Professional 2 conducts or facilitates training courses for organization employees or external audiences. The ..

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 Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

... reactive performance tuning of storage systems, support implementation of storage software ... development, testing, and deployment of systems and upgrades to existing systems. Understands department, segment, and organizational .....

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Canton Ohio Description The Senior Learning Facilitation Professional will focus on integration and implementation of training solutions for both internal and ..

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

Job Information Humana Quality Improvement Coordinator in Canton Ohio Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..

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 ..