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... and maintain a government contracts compliance program including written standards, policies and ... a clear understanding of, and compliance with, the appropriate regulations and ... terms & conditions to..
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Description This role is on the Humana At Home Special Needs Plan Compliance Review team within Home Solutions Compliance and Risk Management. The Quality Assurance Professional 2 performs audits to establish ..
... management, Cybersecurity, infosec, privacy, regulatory compliance, etc.) and across the broader ... analysis that can populated. regulatory compliance reporting and metrics for the ... operational effectiveness of the Cybersecurity..
... Information Humana Actuary, Risk and Compliance in Brentwood Tennessee Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..
Description The Lead, Technology and Cybersecurity Risk defines the standard for Humana's cybersecurity and technology-related risk management approach and identifies and reports on related risk. This Lead is primarily focused on ..
Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead will analyze business requirements, ... in a manner that minimizes compliance risk exposure for the Company. ... day-to-day..
Description Humana Healthy Horizons is seeking a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. This position ..
... to diagnosis coding to ensure compliance with ICD-10-CM guidelines and industry ... issues specific to coding and compliance Research and respond to coding ... (AHIMA) CCS - Certified Coding..
Description The Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
... with the TH Customer Service program, generate sales and profit, minimize ... maintained. Maximize Associate productivity, ensure compliance and consistent execution of company ... by ensuring TH Customer Service..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Job Information Humana Senior Integration Specialist - Cloud in Brentwood Tennessee Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..
Job Information Humana Compliance Professional 2 - Medicaid in ... Capsule Be a part of Compliance - Use your business knowledge ... procedures, and programs supporting our compliance initiatives. Humana..
Description The Lead, IT Compliance assesses the most complex new ... practice frameworks. The Lead, IT Compliance works on problems of diverse ... to substantial. Responsibilities The IT Compliance Lead..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Description Our innovative and growing infrastructure and operations portfolio management group is searching for an experienced IT Portfolio Management Professional. We deliver exceptional value to department leaders by providing organization and ..
... Humana Lead, IT Risk and Compliance - Business Managed Technology in ... The Lead, IT Risk and Compliance - Business Managed Technology is ... - UDOIT) Governance, Risk and..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
Description Be a part of our Interoperability space - Provide guidance to facilitate interaction with digital services and capabilities that connect people with lifelong well-being. Responsibilities Humana is seeking Product Owners ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... part of our Special Needs Program (SNP) team. All of our ... skills. This is a very compliance driven and highly visible program at Humana. The nature of .....
