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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 Morgantown ... West Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with 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 ..
... team members who strive to support each other on all initiatives! ... partner with business owners to support risk management and compliance within the Risk Adjustment organization ... of..
Description The Senior Technology Leadership Professional is responsible for executing and delivering on IT business strategies and solutions. Senior Technology Leadership Professional work assignments involve moderately complex to complex issues where ..
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 ..
... (Drug Supply Chain Security Act) compliance related tasks in support of Humana's Pharmacy inventory receiving ... Manage/assist with DSCSA document retention Support the Supply Chain team(s) with ... Quarterly..
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 Market Development Advisor in Morgantown West Virginia Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product ..
... and value, while also managing compliance with network requirements, including network ... Care Contract. The Lead will support the analysis of provider network ... proactively identify network issues, ensure..
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 Behavioral Health Market Development Advisor provides 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 ..
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 ..
... design patterns and standards to support technology strategy Bachelor's degree in ... design patterns and standards to support technology strategy Plan and deliver ... conditions Guide and work with..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
... internal/external business partners. These processes support compliance initiatives, new contracting strategies, and ... analysis for identified issues, or support and consult with users to ... performance, business case realization,..
Job Information Humana Compliance Lead - Remote in Morgantown ... Morgantown West Virginia Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....
Job Information Humana Senior Market Development Professional in Morgantown West Virginia Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicaid ..
... opportunity providing Operations & Engineering support work on multiple cutting-edge storage ... Subject Matter Expert providing operations support and governance. With extensive Storage ... performance tuning of storage systems,..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Morgantown West Virginia Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security ..
... governance, processes and technical advisory support to business units and projects ... cross-functionally and provide recommendations that support the business needs. Participant as ... Work with cross-functional teams to..