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Contract Specialist / Procurement Analyst, GS 11-13 Duties: The candidate may support any of the programs and offices across the Agency. Will award, administer, and close-out contracts to support these programs ..
Staff Attorney The candidate provides legal services to the Ethics Commission as directed by the General Counsel and Executive Director. Respond to telephone and written inquiries seeking opinions and interpretations of ..
... TRICARE East Managed Care Support Contract. The CEBO team performs enrollment ... information collection within policies and contract performance metrics defined within our ... performance metrics defined within our..
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 ..
... be a part of Humana Government Business and our important mission ... for our nation's military. Humana Government Business is a top 10 ... solutions. Our Department of Defense..
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 ..
Job Information Humana Director, Informatics in Charleston West Virginia Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights ..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Charleston West Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
Description The CCM Compliance Professional 2 ensures compliance with governmental and contractual requirements. The CCM Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the ..
... Humana Provider Data Management & Contract Load Professional in Charleston West ... Description Provider Data Management & Contract Load Professional 2 is responsible ... The Provider Data Management &..
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 ..
... changes that assure compliance with contract obligations. Maintains relationships with government agencies. Coordinates site visits for ... regard to regulatory requirements and government contract administration Lead the communication of..
Partner, Corporate Sustainability and Climate Change (Partner Level) Duties: The candidate will be shaping clean energy and climate policy insight and advisory services, with a focus on leading electric sector coalitions ..
Job Information Humana Credentialing Assistant 3/Government Business - Work at Home in Charleston West Virginia Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. ..
Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Associate Director, Infrastructure Engineering scope of responsibility includes ensuring the technical foundation for Virtualization, Operating Systems, Security, and support of cloud environments. Develops the organization's infrastructure and Obsolescence plans, ..
Job Information Humana Market Development Advisor in Charleston 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 ..
Contract Specialist/Administrator/Negotiator, Procurement Analyst (Supervisory/Non/Lead), GS 11-15 Duties: The candidate will be responsible for the procurement of highly specialized equipment, components and systems for high-rise buildings and their operating systems, the ..
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 ..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Charleston West Virginia Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security ..