Contract Compliance Specialist Jobs in Springfield

... looking for a dynamic Recruiting Specialist to help support the companyu0027s ... Clearance Requirement ,VerityZone:formtext7,QuestionType:single-select,ActualValueFromSolar:null},{QuestionName:Industry Job Title,AnswerValue:Recruiting Specialist / Telecommuting Opportunity,VerityZone:formtext14,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Background Check Type,AnswerValue:7 ... as neededu003c/liu003eu003cliu003eExperience with IBM Kenexa..

Description The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of ... moderate to substantial. Responsibilities The Compliance Lead (SNP) develops and implements .....

... u0026nbsp;Flexibility to work on-site as needed.,VerityZone:formtext15,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Contract Award Contingency,AnswerValue:No,VerityZone:formtext17,QuestionType:radio,ActualValueFromSolar:null},{QuestionName:U.S. Citizenship,AnswerValue:No,VerityZone:formtext19,QuestionType:radio,ActualValueFromSolar:null},{QuestionName:Qualifications Required (Skills),AnswerValue:u0026nbsp; ... u0026nbsp;Knowledge of Office of Federal Contract Compliance Programs (OFCCP) Regulations specific to ... development, and all benefits..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

... seeking a Software Entitlement and Compliance Specialist who will be accountable for ... including full software lifecycle management, compliance, optimization, audit data requests and ... where the Software Entitlement..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of ... & Analytics to ensure continued compliance through innovative product offerings and ... and..

Job Information Humana Medical Director - Florida Medicaid in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Job Information Humana FP&A Lead, Medicaid Market in Springfield Missouri Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

:text,ActualValueFromSolar:null},{QuestionName:Recruiter,AnswerValue:Deborah Morse,VerityZone:recruiterid,QuestionType:Multi-Select,ActualValueFromSolar:null},{QuestionName:Job Description,AnswerValue:The Senior Benefits Specialist, under the direction of the ... accident, and disability.u0026nbsp;u003cbru003e- Manage benefits compliance processes for IRS and DOL ... Requirement ,VerityZone:formtext7,QuestionType:single-select,ActualValueFromSolar:null},{QuestionName:Industry Job Title,AnswerValue:Sr. Benefits Specialist,VerityZone:formtext14,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Background..

... seeking a Software Entitlement and Compliance Specialist who will be accountable for ... including full software lifecycle management, compliance, optimization, audit data requests and ... Software Asset Management Entitlement..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana Medical Director - National Medicare Team in Springfield Missouri Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Springfield Missouri Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

Job Information Humana UM Medical Director - Conviva in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..