External Compliance Director Jobs in Pittsburgh

... functions are outsourced to an external vendor. The Claims Oversight department ... processing operations and systems. The Director, Claims Oversight plays a vital ... research and response (internal and..

Description The Director, Business Intelligence solves complex business ... using data from internal and external sources to provide insight to ... provide insight to decision-makers. The Director, Business Intelligence requires..

... in the newly-created position of Director, Corporate and Financial Communications. This ... business and financial media. The Director works with senior executives on ... positioning the company strategy to..

SUMMARY OF JOB PURPOSE AND FUNCTION The primary purpose and function of the Director Veterinary Quality is to ensure care delivered in market assigned hospitals meet industry and Banfield quality standards. ..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..

Apply Here: https://www.vanderbloemen.com/job/urban-impact-foundation-director-of-finance Snapshot: Denomination: Christian Missionary Alliance ... Location: Pittsburgh, Pennsylvania The Role: Director of Finance Meet Urban Impact ... Impact was born! About the Director of Finance: The..

Job Information Humana Associate Director, Provider Data Interoperability in Pittsburgh ... Medicaid operational business. The Associate Director, Provider Data Interoperability plans, coordinates ... The Provider Data Interoperability Associate Director will..

Job Information Humana Director, Campaign Management & Personalization in ... Description Humana is seeking a Director, Campaign Management & Personalization who ... operations, and performance management. The Director will provide..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead will analyze business requirements, ... advise internal business units and external business partners in delivering results ... in..

Description The Compliance Lead ensures compliance with governmental requirements and works ... analysis of variable internal and external factors and determining the best ... include: Responsible for effectiveness of compliance..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... in Pittsburgh Pennsylvania Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

Job Information Humana Director, Informatics in Pittsburgh Pennsylvania Description ... in Pittsburgh Pennsylvania Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

Description The Director, Market Development provides support to ... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. ... federal contract application submissions. The Director, Market Development requires..

Description The Director, Product Management conceives of, develops, ... products for customer use. The Director, Product Management requires an in-depth ... function or segment. Responsibilities The Director, Product Management Leads..

Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and ... manages the Dental Credentialing and Compliance team ensuring that dental providers ... Humana's Dental Networks operate in compliance with..

DIRECTOR OF ALL ENGINEERING 14 Plants From Corporate Office in Pittsburgh, PA Supervising, Managing, and Directing Engineering in a Renewable Energy or Process Oriented Industry UP to $200,000 or - This ..

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 ..

Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..