Compliance Operations Jobs in Duluth

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 Duluth ... Duluth Minnesota 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 Compliance Prof 2/Process and Market Support- Remote in US in Duluth Minnesota Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..

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

... 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..

... 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..

... physician to coordinate the facility operations and patient procedures to ensure ... all company, state and federal compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY:Responsible ... according to policy; ensure ongoing..

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 ..

Job Information Humana Compliance Lead - Remote in Duluth ... in Duluth Minnesota Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....

... 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..

Job Information Humana Senior Market Development Professional in Duluth Minnesota Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicaid product ..

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). ..

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 ..

... 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..

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 ..

Job Information Humana Associate Director, Provider Data Interoperability in Duluth Minnesota Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..

... (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 Market Development Advisor in Duluth Minnesota 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, ..

... 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..

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

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 ..