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Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... for well-being Responsibilities The Senior..
Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional works assignments involve moderately ... well-being Responsibilities The MarketPoint..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Kalamazoo ... Kalamazoo Michigan Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Job Information Humana Market Development Advisor in Kalamazoo Michigan Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, ..
Description The Senior Technology Leadership Professional is responsible for executing and delivering on IT business strategies and solutions. Senior Technology Leadership Professional work assignments involve moderately complex to complex issues where ..
... are involved in development, maintenance, compliance or analysis through research programs, ... processes and procedures that ensure compliance with established standards and agency ... Quality Systems and Processes for..
Job Information Humana Compliance Lead - Remote in Kalamazoo ... in Kalamazoo Michigan Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....
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 ..
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 ..
Description The Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager work assignments are varied ..
Job Information Humana Senior Market Development Professional in Kalamazoo Michigan Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicaid product ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
... and value, while also managing compliance with network requirements, including network ... intelligence information to inform network operations activities Monitor network adequacy data ... proactively identify network issues, ensure..
... (Drug Supply Chain Security Act) compliance related tasks in support of ... of Humana's Pharmacy inventory receiving operations. This person will need to ... tools to communicate with Pharmacy..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Kalamazoo Michigan Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation 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 ..
... results, then Humana's Cloud Infrastructure Operations team could be the place ... for you! The Enterprise Cloud Operations Engineer position will oversee Cloud ... Engineer position will oversee Cloud..
... have a unique opportunity providing Operations & Engineering support work on ... Backup Subject Matter Expert providing operations support and governance. With extensive ... Administrator is responsible managing day-to-day..
... business partners. These processes support compliance initiatives, new contracting strategies, and ... performance, business case realization, or compliance. Provider Process also supports business ... not limited to: IT, Credentialing..
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 Kalamazoo Michigan Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
... implements, analyzes, and organizes clinical operations for a specific location managed. ... to ensure documentation is in compliance with regulatory agencies and requirements ... are completed timely and in..
