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... Management Professional 2 – HCPR Compliance, you will work with HCPR ... identify any gaps specifically around compliance with regulatory requirements Contribute to ... to executive-level dashboards to summarize..
Description The Pharmacy Claims Lead - Overpayment works ... from moderate to substantial. The Pharmacy Claims Lead will lead the ... Part D and review of pharmacy claims containing invalid..
... and process improvement to support compliance within the Humana Pharmacy Solutions organization. As a Senior ... the Risk Operations and Humana Pharmacy Solutions leadership team to identify ... in..
... working in tandem with Humana Pharmacy Inc. and Humana Pharmacy Solutions (PBM) leadership to successfully ... department's strategy in meeting accreditation compliance through existing polices, processes and ... complex..
Job Information Humana HPS Growth Compliance & Risk Management Pharmacy Operations Lead in Louisville Kentucky ... substantial. Responsibilities Location: Remote The Compliance & Risk Management Pharmacy Operations Lead contributes to..
... status reports/metrics to executive leadership, compliance and functional area leaders on ... and Effects Analysis (FMEA), etc.) Pharmacy experience - degree from an ... from an accredited college of..
... Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA ... (Drug Supply Chain Security Act) compliance related tasks in support of ... tasks in support of Humana's..
... and development of reports from pharmacy and system IT programs related ... substance accountability, regulatory and policy compliance. This person will provide support ... Accountability. The analyst will monitor..
Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for payment. The Senior ... claims for payment. The Senior Pharmacy Claims Professional work assignments involve .....
Description The Pharmacy Claims Professional 2 is responsible ... and maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and ... analyzes and answers inquiries regarding pharmacy claims adjudication, including..
Job Information Humana Risk Management Pharmacy Lead in Louisville Kentucky Description ... Location: Remote The Risk Management Pharmacy Lead contributes to the success ... strategy by supporting risk and compliance..
... Marketing Operations team, the QA Auditor reviews marketing communications for accuracy ... the accuracy review , the auditor uses proof reading skills and ... the adherence review , the..
... Senior Risk Management Professional - Pharmacy claims in Louisville Kentucky Description ... and process improvement to support compliance within the Humana Pharmacy Solutions organization. As a Senior ... the..
Senior Compliance Professional The candidate ensures compliance with governmental requirements. Work assignments ... in a manner that minimizes compliance risk exposure for the Company. ... to prevent, detect, and resolve..
Description The Senior Pharmacy Claims Professional in the Pharmacy Claim Audit & Review department ... Audit & Review department adjudicates pharmacy claims and process pharmacy claims for payment. The Senior..
Description The Pharmacy Claim Professional 2 in the ... Claim Professional 2 in the Pharmacy Claim Audit & Review (PCAR) ... (PCAR) team conducts reviews on pharmacy claims to assess..
Job Information Humana Associate Director, Fraud and Waste in Louisville Kentucky Description Responsibilities Associate Director, Program Integrity : At the direction of the Associate Vice President, Payment Integrity, the Associate Director ..
Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk ... clinics including serving as a compliance subject matter expert for revenue ... value-based care programs. The Senior..
