Compliance Monitoring Systems Jobs

Macy's Seasonal - Retail Sales, Part Time: Franklin Park Mall','713132398','!*!Overview:As a Seasonal Selling Colleague, you will be an integral part of bringing the magic of Macy's to life.  Seasonal Selling Colleagues ..

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

Job Information Humana Senior Value Based Programs Professional - Remote in Toledo Ohio Description The National Delegation Oversight and Support (NDOS) Senior Value-Based Programs Professional supports successful value-based provider relationships with ..

... 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..

... philosophy. Adheres to the FMCNA Compliance Program including following all regulatory ... procedures and training and in compliance with regulations set forth by ... where appropriate - Online Clearance..

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

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 ..

Job Information Humana Senior Incident Response Engineer (virtual home office remote eligible) in Toledo Ohio Description The Senior Incident Response Engineer will be part of a dynamic, growing team, hunting for ..

... 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. ..

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

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 ..

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

... procedures, and training and in compliance with regulations set forth by ... where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling ... treatment including..

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

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

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 Network Optimization Lead (OH Medicaid) - Remote, Ohio in Toledo 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 Toledo Ohio Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..

... 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 .....

... 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..

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