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... Governance is the combination of Compliance processes established and executed that ... 5 years experience with accrediting compliance for medicare advantage programs. Medicare, ... advantage programs. Medicare, Medicaid, and/or..
Description The Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans ..
... practices, ensuring alignment with general regulatory requirements. The BC Program Lead ... Recovery, Corporate Security, Legal and Compliance teams, to facilitate quality and ... Familiarity with Governance, Risk and..
Job Information Humana Compliance Prof 2/Process and Market Support- ... made by business partners and Regulatory agencies. You will present and ... made by business partners and Regulatory agencies. You..
Job Information Humana Senior Learning Facilitation Professional-Remote in US in Fairmont Minnesota Description The Senior Learning Facilitation Professional will focus on integration and implementation of training solutions for both internal and ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Learning Facilitation Professional 2- Remote in US in Fairmont Minnesota Description The Learning Facilitation Professional 2 conducts or facilitates training courses for organization employees or external audiences. The ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Fairmont ... Fairmont Minnesota Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional works assignments involve moderately ... well-being Responsibilities The MarketPoint..
Job Information Humana Compliance Lead - Remote in Fairmont ... in Fairmont Minnesota Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....
Job Information Humana Assistant General Counsel, Home Solutions in Fairmont Minnesota Description The Assistant General Counsel provides a full range of legal advice and services. The Assistant General Counsel provides strategic ..
... Primary Care segment, overall CenterWell healthcare business, and the enterprise as ... of EMR software with various healthcare systems Collaborate with cross-functional teams ... of EMR systems to ensure..