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... single mission: to discover, develop, and deliver innovative medicines focused on ... such as oncology, cardiovascular, immunoscience and fibrosis. Join us and make a difference. We hire ... We..
... Workforce Management Professional 1 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making ... workforce decision-making (e.g., staffing,..
Description The Care Manager, Telephonic Behavioral Health 2, in ... in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by .....
... Type Management JOB SUMMARY Leads and drives security risk management as ... part of the Security Risk, Compliance and Governance team. Responsible and accountable for assessing security risk .....
... Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with ... Management, business units, regulatory agencies, and industry groups to ensure the ... to ensure the company's technology..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Charleston ... West Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Description Responsibilities The Insurance Product Manager 2 will: Research each State's ... analysis, etc. for intelligence gathering and strategy formulation Responsible to maintain ... markets on routine daily tasks and..
... Under Armour, Inc. Global Tax Manager (Remote) in Charleston West Virginia ... Charleston West Virginia Global Tax Manager (Remote) Date: Dec 28, 2022 ... around the world push boundaries..
... customer service to both internal and external customers by developing and maintaining relationships with Account / ... with Account / Clinical Management and PCO-IPU Operations teams. Responsibilities Location: .....
... Level) The candidate will develop and implement strategic business/action plan, provide ... strategic business/action plan, provide leadership, and deliver performance results to expand ... Impact Assessment (IA) service area..
... direction of a RN in compliance with the state's Nurse Practice ... applicable healthcare standards, governmental laws and regulations, and Gentiva Health Services policies and procedures. Provide skilled nursing..
Description The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are ... 2 work assignments are varied and frequently require interpretation and independent determination..
... Virginia Description Humana's Provider Data and Medicaid Governance team is committed ... team is committed to effective and efficient business solutions for quality ... business solutions for quality assurance..
... 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 ... on problems of diverse..
Description The Manager, Membership and Plan Services (MPS) Risk Management ... to drive operational excellence, advance compliance results, and improve audit readiness. Responsibilities Where ... Where you Come In The..
Description Humana's Provider Data and Medicaid Governance team is committed ... team is committed to effective and efficient business solutions for quality ... business solutions for quality assurance and risk..
... from short-term to long-term care and a wide variety of living ... wide variety of living options and professional clinical services. We are ... you -- passionate, highly skilled..
... meet specific Centers for Medicaid and Medicare Services standards of quality. ... Grievance/Appeals case information to ensure compliance of all CMS regulations and contractual guidelines. Responsible for the .....
Description The Manager, Risk Adjustment oversees coding educators ... Risk Adjustment oversees coding educators and quality assurance audits of medical ... assurance audits of medical records and ICD-9/10 diagnosis codes..
Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US ... Do you crave new challenges and solving problems? Are you looking ... to improve the Humana processes..
... Information Humana Director, Care Delivery and EMR/EHR Technology in Charleston West ... an effective strategy for executing and delivering on IT business initiatives ... specific to care delivery technology..
Description The Manager, Compliance Nursing reviews utilization management activities ... Nursing reviews utilization management activities and documentation to ensure adherence to ... ensure adherence to policies, procedures, and regulations and..