Legal Regulatory Analyst Jobs in Montpelier

... provides a full range of legal advice and services. The Counsel ... will be expected to provide legal advice to business leaders and ... and clinical staff regarding medical..

... we are meeting all required legal, safety and Department of Transportation ... any required operational training. Applies legal, regulatory and safety compliance knowledge to ... leadership on matters such..

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 ..

Job Information Humana Senior Compliance Professional- Medicare Sales and Marketing in Montpelier Vermont Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..

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 ..

Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..

Description The Lead, IT Compliance assesses the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..

Description The Senior Pharmacy Clinical Advisor requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve ..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..

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

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

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 Would you like to be a member of the information security team serving the J.D. Power #1 ranked U.S. mail order pharmacy for the last 4 years in a row? ..

Immigration Paralegal (Remote) Date: Dec 17, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment to innovation that lies at ..

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

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

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 ..

... 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 Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to ..

Job Information Humana Quality Assurance Audit Professional 2 in Montpelier Vermont Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join working remote ..

Description The Senior Professional, Medicaid Network Strategy will be accountable for supporting the development of Humana Healthy Horizon's (Medicaid) network and provider strategy for its growth markets. This strategist will provide ..

... business requirements, provide research and regulatory interpretation, and advise internal business ... changes that assure compliance with regulatory and contractual obligations. Responsibilities Responsibilities ... be used to evidence meeting..