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... grow, the National Medicaid Clinical Operations team is expanding our shared ... problems within department(s), and could lead multiple managers or highly specialized ... services to support 24/7 clinical..
Description The Risk Management Lead will help identify risks, oversee ... readiness. Responsibilities The Risk Management Lead will design, deliver, and drive ... substantial. The Medicare Risk Management Lead will:..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of ... course of action. Responsibilities Responsibilities Lead a team of Pharmacy Professionals ... and procedures address compliance and regulatory requirements..
... Director, Cyber Defense and Response Operations develops a team of analysts ... Director, Cyber Defense and Response Operations will oversee the activities of ... of the 24x7 frontline Security..
Description The Associate Director, Cloud Network Architecture will design, provide vision and strategy, develop, and execute Humana's Cloud Network architecture and environments. This is a management and leadership position that will ..
Description The Lead, Information Technology & Data Governance ... and key business stakeholders. The Lead, Information Technology & Data Governance ... moderate to substantial. Responsibilities The Lead is responsible for..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... compliance reviews of business partner operations. Monitors metrics and other oversight ... and apply laws, regulations, and..
Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and Compliance team ensuring that dental providers are Credentialed/Re-credentialed according to CMS and State guidelines and that Humana's Dental Networks operate in ..
Job Information Humana Lead, Business Architect - Enterprise API ... Fargo North Dakota Description The Lead, Business Architect as part of ... Responsibilities Humana is seeking a Lead, Business Architect..
Description The Lead, IT Compliance assesses the most ... systems procedures follow corporate standards, regulatory requirements, and best practice frameworks. ... and best practice frameworks. The Lead, IT Compliance works..
Description The Provider NetworkSenior Network Operations Professional works with the Network ... Professional works with the Network Operations lead to oversee the plan's strategic ... claims data needed for service..
... business requirements, provide research and regulatory interpretation, and advise internal business ... Professional will serve as the Regulatory Compliance subject matter expert for ... and apply laws, regulations, and..
... the Data Governance office as Lead, Enterprise Data Governance! In this ... for across the enterprise. The Lead, Enterprise Data Governance will work ... throughout the enterprise. Responsibilities The..
Safety Specialist Job ID: 7333 Location: Kindred, ND, US, 58051-9348 Date posted: Sep 8, 2022 Employment Type: Salary Schedule: Full Time Job ID: 7333 CHS Inc. is a leading global agribusiness ..
... Humana Information Technology Risk Oversight Lead in Fargo North Dakota Description ... Fargo North Dakota Description The Lead, Information Technology Risk Oversight, identifies, ... and Disaster Recovery Disciplines. The..
Description The Agency Operations Lead Process Improvement Professional will oversee ... will oversee the MarketPoint Agency Operations team and the daily sales ... and appointment requirements. This team lead drives..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
... The Behavioral Health Parity Compliance Lead will play an integral role ... monitoring all related behavioral health regulatory guidance and implementations, supporting the ... organization with corrective actions and..
Job Information Humana Medicaid Encounters Lead (Medicaid) - Remote, US in ... Dakota Description The Medicaid Encounters Lead is responsible for monitoring and ... collaboration with Encounters, Finance and Operations..
... Professional will support MarketPoint Agency Operations by balancing daily operational functions ... include meeting Federal and State regulatory sales oversight requirements. The person ... process, and procedures for Agency..
Job Information Humana Compliance Lead - Remote in Fargo North ... North Dakota Description The Compliance Lead ensures compliance with governmental requirements. ... with governmental requirements. The Compliance Lead works..