Compliance Research Analyst Jobs in Tucson

Senior Conflict of Interest Analyst The candidate provides support, training, ... policies and procedures. Conducts initial compliance reviews and will assist in ... audits or reviews to ensure compliance with..

Senior Contract Analyst The candidate will work closely ... will work closely with faculty, research staff, study teams, and our ... federal and local governments, state-sponsored research, non-profit foundations, and..

Financial Management Analyst Qualifications: For GS-05: The candidate must have 3 years of general experience that includes 1 year of experience equivalent to the next lower grade level (GS-04) or pay ..

... preference for expertise in healthcare compliance.Duties:Conduct legal research and analysis related to healthcare ... advice to healthcare clients on compliance matters.Draft, review, and negotiate healthcare ... in healthcare law.Experience..

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 ..

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Tucson Arizona Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..

Paralegal Public Defense Services The candidate manages case load involving specialized areas of law (criminal, juvenile, and recommends appropriate legal action. Compiles, coordinates and analyzes case information throughout all phases of ..

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

... business partners. These processes support compliance initiatives, new contracting strategies, and ... performance, business case realization, or compliance. Provider Process also supports business ... Senior Process Improvement Professional will:..

Job Information Humana Senior Value Based Programs Professional - Remote in Tucson Arizona Description The National Delegation Oversight and Support (NDOS) Senior Value-Based Programs Professional supports successful value-based provider relationships with ..

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

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 Information Humana Enterprise Transformation Lead - Office or Remote in Tucson Arizona Description The Enterprise Transformation Lead provides data-based strategic direction to identify and address business issues and opportunities. Provides ..

Job Information Humana Senior Market Data Professional - Remote in Tucson Arizona Description The Senior Market Data Professional provides support to assigned health plan and/or specialty companies relative to Medicare, Medicaid, ..

Description The 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 (e.g., staffing, learning and development, ..

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..

Description The Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager work assignments are varied ..

Description The Associate Actuary, Pricing is responsible for setting pricing assumptions and submitting bids. Supports implementation of rates, new plans and benefit changes. Provides guidance to Product Development on new product/benefit ..

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 ..

Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Tucson ... Tucson Arizona Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

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 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 Bering ..

Job Information Humana Value-Based Strategies - CMS Programs Strategy Lead - Remote in Tucson Arizona Description Value-Based Strategies - CMS Programs Strategy Lead will support Humana through successful participation in CMS/CMMI ..