Compliance Subject Matter Expert Jobs in Springfield

... Humana Senior Cybersecurity Risk & Compliance Professional in Springfield Missouri Description ... the Senior Cybersecurity Risk & Compliance Professional at Author by Humana ... managing cross-functional Governance, Risk and..

Job Information Humana Market Development Analyst - Remote in Springfield Missouri Description The Market Development Analyst provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/Commercial product implementation, operations, ..

... Information Humana Senior Insurance Product Compliance Professional in Springfield Missouri Description ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..

... documented, reviewed for appropriateness and compliance and monitored regularly. Begin to ... and problem solving to ensure compliance with state and federal regulations. ... and federal regulations. Responsibilities include:..

... evidence-based medicine to meet regulatory compliance. Leads Performance Improvement projects, serves ... projects, serves as clinical nutrition expert in task forces, team huddles, ... the clinical in-services as the..

... Group product implementation, operations, contract compliance, and federal contract application submissions. ... as the provider services Medicaid subject matter expert. Uses independent judgment requiring analysis ... ensure Perfect Provider..

Senior Compliance Professional- Medicare Sales and Marketing ... Marketing Duties: Develop and implement compliance policies and procedures. Research compliance issues and recommend changes that ... and recommend changes that assure..

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 This is a Work from Home / Remote Optional Position In this role, you will be defining and operationalizing secrets governance framework and data security metrics for Humana. You will ..

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 ..

Job Information Humana Storage Administrator- Storage and Backup in Springfield Missouri Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same mantra, ..

Job Information Humana Lead, IT Compliance - Technology Exams, Audits and ... with senior executives, and inserting expert judgement to reduce risk exposure. ... requests and audits, working with subject..

Description Humana Cloud Adoption and Operations team is looking for a Senior Cloud Advocate responsible to deliver new technological solutions coordinating solutions and building integration capabilities to meet business needs within ..

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

Description The Senior Risk Adjustment or Market Development Professional provides support relative to Medicaid risk adjustment product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market Development Professional ..

... also need to incorporate EMR, compliance, primary care policy and procedure, ... recorded sessions. Serve as the Subject Matter Expert (SME) on clinical value-based care ... Work collaboratively with..

Job Information Humana Senior Compliance Professional, Specialty Compliance in Springfield Missouri Description The ... Springfield Missouri Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with..

... for the Law, Risk, and Compliance (LRC) organization. The Senior Data ... work closely with risk and compliance subject matter experts (SMEs) to extract, transform, ... more effectively monitor..

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

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 ..

Job Information Humana Lead Cloud Advocate in Springfield Missouri Description Humana Cloud Adoption Services team is looking for a Lead Technology Leadership Professional responsible to deliver new technological solutions coordinating solutions ..

Corporate Counsel The candidate will be supporting corporate governance actions, including drafting policies and documentation. Supporting corporate compliance with applicable securities laws and regulations. Supporting subject-matter experts of the legal team ..

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..