Compliance Research Analyst Jobs in Charleston

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 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 Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intelligence gathering and strategy formulation Responsible ..

Job Information Humana Compliance Lead - Sales and Marketing ... Charleston West Virginia Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....

Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in ... West Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

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

Job Information Humana Senior Compliance Professional - Medicaid State Reporting ... West Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

... (Drug Supply Chain Security Act) compliance related tasks in support of ... will need to complete varied research and provide timely responses to ... Humana internal procedures Conducts independent..

Job Information Humana Senior Compliance Professional (Network & Credentialing) in ... West Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

Job Information Humana Compensation Lead - Career Framework, Market Analysis, Regulatory in Charleston West Virginia Description The Compensation Lead develops, implements, and administers compensation programs. The Compensation Lead works on problems ..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior..

... to diagnosis coding to ensure compliance with ICD-10-CM guidelines and industry ... issues specific to coding and compliance Research and respond to coding inquiries ... Experience in completing efficient..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Charleston West Virginia Description Humana is looking for an experienced Healthcare Investigator to join its ..

Job Information Humana Market Development Analyst - Remote in Charleston West ... Virginia Description The Market Development Analyst provides support to assigned health ... Medicare/Medicaid/Commercial product implementation, operations, contract compliance,..

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 Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

A law firm in Charleston, WV, is seeking an Energy Associate Attorney with 0-3 years of legal experience. The ideal candidate should have legal experience commensurate with their time in practice ..

Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing ..

Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the ... West Virginia Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental ... and governmental requirements. The..

Description The Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans ..

Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's Provider Medicaid operational business. The Associate ..

Job Number 23029822 Job Category Information Technology Location Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States Schedule Full-Time Located Remotely? Y Relocation? N Position Type Management JOB SUMMARY: The ..