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Regulatory Compliance Specialist IV The candidate ... existing audit compliance efforts and regulatory compliance obligations, and to support ... in alignment with industry and regulatory requirements and expectations. Creates 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 ..
... 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 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..
... 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 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:..
... Humana Information Technology Risk Oversight Lead in Newport Rhode Island Description ... Newport Rhode Island Description The Lead, Information Technology Risk Oversight, identifies, ... and Disaster Recovery Disciplines. The..
Job Information Humana Compliance Lead - Remote in Newport Rhode ... Rhode Island Description The Compliance Lead ensures compliance with governmental requirements. ... with governmental requirements. The Compliance Lead works..
... 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..
... 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 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..
... 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..
Job Information Humana Lead, Business Architect - Enterprise API ... Newport Rhode Island Description The Lead, Business Architect as part of ... Responsibilities Humana is seeking a Lead, Business Architect..
Sr. Quality Manager Job Summary Quality Manager is responsible for the day-to-day operations of the Quality function for leading the development, maintenance and execution of the business's Quality Management System in ..
... 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..
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..
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 ..
... 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..
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..
Job Information Humana Medicaid Encounters Lead (Medicaid) - Remote, US in ... Island Description The Medicaid Encounters Lead is responsible for monitoring and ... collaboration with Encounters, Finance and Operations..
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..