Government Contract Compliance Manager Jobs

... TRICARE line of business. Meet contract deliverables and performance guarantees while ... developmental plans at a 95% compliance rate for Supervisors and above; ... HGB / Humana brand Meet..

... of variable factors. Responsibilities Humana Government Business's (HGB) Behavioral Health Medical ... Management (DM), population health management, contract compliance, quality improvement, and pilot/value-based payment ... HGB policy development to..

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

Job Information Humana Manager, Compliance - Agent Investigation Unit in ... in Salem Oregon Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..

Job Information Humana Director, Informatics in Salem Oregon Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..

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

Job Information Humana Medical Director - Florida Medicaid in Salem Oregon 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 Director, IT Compliance audits the most complex new ... information systems procedures are in compliance with corporate standards. The Director, ... corporate standards. The Director, IT Compliance requires..

Job Information Humana Medical Director - Texas in Salem Oregon Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of ..

Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is ... appropriate courses of action. Humana Government Business government contract requires U.S. citizenship for this ... for assigned areas. Ensures..

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 ..

... timely and accurate implementation of Government supplied or directed fee schedules, ... and surveillance techniques to ensure compliance with government regulations. In collaboration with other ... responded to as..

Senior Manager Compliance Programs Duties: Manage a team ... team that maintains and enhances compliance program components. Provide support, coaching, ... annual performance evaluations. Research regulatory compliance requirements and develop..

... of variable factors. Responsibilities Humana Government Business's (HGB) Behavioral Health Medical ... Management (DM), population health management, contract compliance, quality improvement, and pilot/value-based payment ... HGB policy development to..

Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Salem ... Salem Oregon Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

Senior Manager Compliance Programs, Corporate Functions Duties: The ... team that maintains and enhances compliance program components, including, but not ... Lead identification and assessment of compliance program risks and..

Job Information Humana Senior Cloud Security Engineer (virtual remote) in Salem Oregon Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... auditing for quality and clinical compliance, and case management. Serve as ... ABA treatment plans for policy compliance. Assist..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined in the ... timely and in accordance with contract..

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

The Director/Plant Manager provides leadership and direction to ... plant safety programs and ensure compliance with good manufacturing practices (GMP’s). ... for all corporate, customer and government audits to ensure..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..