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Compliance Analyst Duties: Create and maintain databases and spreadsheets related to regulatory submissions and reporting, licensing, contracts, policies, procedures, laws and regulations. Understand and prioritize timeframes associated with CMS Medicare Advantage ..
Compliance Analyst The candidate will assist in maintaining an internal compliance program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies. Is ..
... clients. The role involves the management of ongoing U.S. health and ... sophisticated consulting projects, proactive project management, frequent vendor interface, developing client ... market. Job Responsibilities: Client relationship..
Description The Senior IT Compliance Professional audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information ..
... to test Participates in vendor contract planning and implementing new solutions ... or more years of product management experience and/or clinical implementation Leadership ... and Outlook Excellent organizational, time..
Job Information Humana Contract Tools, Education, Processes Lead - ... in Columbia Tennessee Description The Contract Tools, Education, Processes Lead exercises ... best in class knowledge. The Contract Tools, Education,..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Columbia Tennessee Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
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 Come join the Data Governance office as Lead, Enterprise Data Governance! In this role you can help grow and implement the company's data use and external data strategies. Through applying ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Columbia Tennessee Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
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 ..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
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 ..
Job Information Humana Value-Based Strategies - CMS Programs Strategy Lead - Remote in Columbia Tennessee Description Value-Based Strategies - CMS Programs Strategy Lead will support Humana through successful participation in CMS/CMMI ..
... and Commercial product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market ... data processing for New Network Management Presents, explains, and communicates to ... data..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Columbia Tennessee Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
Job Information Humana Compliance Lead - Remote in Columbia Tennessee Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..
Job Information Humana Senior Value-Based Programs Reporting/Data Professional - Louisville, KY or Remote in Columbia Tennessee Description The Senior Value-Based Programs Reporting/Data Professional builds templates, standard documentation, policy and protocol, and ..
Description The Network Optimization Lead oversees various efforts involving highly complex data analysis and consultation projects/contracts. The Network Optimization Lead works on problems of diverse scope and complexity ranging from moderate ..
... and executes large-scale people change management plans. The Senior Process Improvement ... to: IT, Credentialing Operations, Provider Contract Load, Data Collection and Verification ... a heavy emphasis on project..