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Job specifications are intended to present a descriptive list of the range of duties performed by employees. Specifications are not intended to reflect all duties performed within the job. SUMMARY Global ..
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..
... vendors supporting these core business operations. Responsibilities The Lead will continually ... Accountable for monitoring Third Parties compliance (PCI, Offshore) with varying internal, ... effectiveness of cybersecurity controls and..
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 Senior Compliance Professional-Remote/Virtual in US in Beckley ... West Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Job Information Humana Market Development Advisor in Beckley West Virginia 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 ..
... 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..
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 ..
Req ID# 512192BR Title OPERATIONS ASSISTANT MANAGER Company Dollar Tree Location of Position Daniels, West Virginia Job Description Work where you love to shop! Dollar Tree is hiring in your neighborhood. ..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Beckley West Virginia Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security ..
Job Information Humana Compliance Prof 2/Process and Market Support- ... improve the Humana processes and associate experience? As a Critical Inquiry ... improve the Humana processes and associate experience? As..
Job Information Humana Senior Market Development Professional in Beckley West Virginia Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicaid ..
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 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). ..
... 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 As a customer-centric company, our top priority has always been the health of the people we serve. Our decades of experience helping millions of members, and our continuous learning on ..
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 ..
... operational delivery teams and enterprise compliance. Ensures that strategies are executed, ... engineering leaders and teams, quality, operations and business leaders to analyze, ... and effective responsiveness into existing..
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 ..
Job Information Humana Associate Director, Provider Data Interoperability in ... Provider Medicaid operational business. The Associate Director, Provider Data Interoperability plans, ... to build and maintain data operations that ingest,..
Job Information Humana Compliance Lead - Remote in Beckley ... Beckley West Virginia Description The Compliance Lead ensures compliance with governmental requirements. The Compliance 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..
