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Description This role is on the Humana At Home Special Needs Plan Compliance Review team within Home Solutions Compliance and Risk Management. The Quality Assurance Professional 2 performs audits to establish ..
Description The Senior Compliance Professional will help to reach ... Professional will help to reach compliance program objectives by ensuring compliance with governmental regulations and laws, ... business areas. Responsibilities..
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..
Description The Senior IT Compliance Professional audits the most complex ... information systems procedures are in compliance with corporate standards. The Senior ... corporate standards. The Senior IT Compliance Professional..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Riverton ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Description Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intelligence gathering and strategy formulation Responsible ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Description The Lead, IT Compliance assesses the most complex new ... practice frameworks. The Lead, IT Compliance works on problems of diverse ... to substantial. Responsibilities The IT Compliance Lead..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Job Information Humana Senior Compliance Professional (Network & Credentialing) in ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Description The Senior Policy Administration Professional creates, reviews, and maintains catalog of company policies and procedures. The Senior Policy Administration Professional work assignments involve moderately complex to complex issues where the ..
... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... fraud, waste, and abuse. The Compliance Nurse work assignments are varied ... schedule and overtime. Responsibilities The..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental ... and governmental requirements. The..
Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting day 1 of employment ..
Description The Senior Risk Adjustment or Market Development Professional provides support relative to Medicaid risk adjustment product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market Development Professional ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior..
Job Information Humana Senior Market Development Professional-RN-WAH Nationwide in Riverton Wyoming Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, ..
Job Information Humana Market Development Analyst - Remote in Riverton Wyoming Description The Market Development Analyst provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/Commercial product implementation, operations, ..
Description The Senior Risk Management Professional identifies, analyzes, and works to mitigate potential sources of risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
