Insurance Regulatory Jobs in Honolulu

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..

Description The Actuarial Analyst 1, Risk and Compliance is responsible for the overall management and oversight of actuaries and/or support staff where activities are concerned with identifying and managing risks. Identifies ..

Description The Compliance Lead ensures compliance with governmental requirements and works on problems of diverse scope and complexity ranging from moderate to substantial utilizing reporting and analytics. Exercises independent judgment and ..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..

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 Senior Insurance Product Manager Manages insurance product offerings for Part D. ... for Part D. The Senior Insurance Product Manager work assignments involve ... variable factors. Responsibilities The..

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..

Staff Attorney / Compliance & Regulatory Manager Responsibilities: M-1 filing - End of Feb each year 5500 filing for Med-Rx-Vis-Den-Life - End of July each year. Fee Transparency execution. During open ..

Senior Accountant - Captive Insurance Aon’s Captive & Insurance Management team is an integral ... global operations. Our 500 captive insurance professionals manage over 1,000 captive ... professionals manage over..

Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Honolulu Hawaii Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..

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 Associate Director or Cloud Platforms leads the planning, design, and engineering of Humana's AWS and GCP environments. The ideal candidate will have a strong technical background in cloud architecture ..

Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Honolulu Hawaii Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Our Aon’s Captive & Insurance Management (“ACIM”) is looking to ... for a portfolio of captive insurance companies and includes but is ... limited to accounting, financial reporting, regulatory compliance,..

... are centrally documented in the Regulatory Repository Coordinate and compose time ... time sensitive responses to incoming regulatory inquiries and issues reflective of ... reports, prior to submission to..

... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Specialty lines of ... issues, conduct research, and provide..

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 ..

Job Information Humana Manager, Compliance - Agent Investigation Unit in Honolulu Hawaii Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..

Description This role will lead a cross-functional technology product team focused on building a world-class developer experience for Humana's external virtual care partners. Integrations in healthcare are often labor-intensive, bespoke, and ..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. This role will focus on Humana's ..

... Improvement Professional is knowledgeable of regulatory and compliance guidelines specifically as ... audit processes required in the insurance industry. Responsibilities The Agency Operations ... accurately on matters such as..

Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Honolulu Hawaii Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..