Compliance Monitoring Systems Jobs in Winchester

... 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 Compliance Professional-Remote/Virtual in US in Winchester ... Winchester Virginia 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 Winchester Virginia Description The National Delegation Oversight and Support (NDOS) Senior Value-Based Programs Professional supports successful value-based provider relationships with ..

WHY CIVICA?nBecause patients should have the essential medicines they need when they need them. As a rapidly growing, entrepreneurial, nonprofit generic drug company created by hospital systems and philanthropies, Civica's mission ..

... 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..

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 Incident Response Engineer (virtual home office remote eligible) in Winchester Virginia Description The Senior Incident Response Engineer will be part of a dynamic, growing team, hunting for ..

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 Quality Improvement Coordinator in Winchester Virginia Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..

... 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..

... 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..

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 Learning Facilitation Professional-Remote in US in Winchester Virginia Description The Senior Learning Facilitation Professional will focus on integration and implementation of training solutions for both internal and ..

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

**Careers that Change Lives** **A Day in the Life** Responsibilities may include the following and other duties may be assigned. Directs or performs coordination and preparation of document packages for regulatory ..

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 ..

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

... 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 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). ..

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

... drug company created by hospital systems and philanthropies, Civica's mission is ... CIVICA SERVESnWhile serving 50 health systems and 1,350 hospitals (or 30% ... pursue excellence in quality and..

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