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Description This role is on the Humana At Home Special Needs Plan Compliance Review team within Home Solutions Compliance and Risk Management. The Quality Assurance Professional 2 performs audits to establish ..
Description The Director, Cyber Security Policy and Standards will lead the ... and Standards will lead the Policy and Control Governance team within ... processes, and procedures align with policy..
Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional works assignments involve moderately ... well-being Responsibilities The MarketPoint..
... auditing for quality and clinical compliance, and case management. Serve as ... Review ABA treatment plans for policy compliance. Assist with analysis of necessary ... Review outcome measures to..
Job Information Humana Storage Administrator- Storage and Backup in Riverton Wyoming Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same mantra, ..
... risks are effectively managed and compliance objectives are achieved. In addition, ... in ensuring Humana's risk and compliance processes effectively drive high-value outcomes ... before they become incidents or..
Job Information Humana Senior Compliance Professional (Network & Credentialing) in ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
... Digital channel, Sales channel, Operations, Compliance, Technology and Business leaders. This ... leverage customer insights, feedback, financials, compliance, and risk data to define ... managing vendor relationships Covid-19 Vaccine..
... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... fraud, waste, and abuse. The Compliance Nurse work assignments are varied ... schedule and overtime. Responsibilities The..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental ... and governmental requirements. The..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Job Information Humana Associate Director, Provider Data Interoperability in Riverton Wyoming Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Riverton ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting day 1 of employment ..
Description The Lead, IT Compliance assesses the most complex new ... practice frameworks. The Lead, IT Compliance works on problems of diverse ... to substantial. Responsibilities The IT Compliance Lead..
Description The Senior Policy Administration Professional creates, reviews, and ... policies and procedures. The Senior Policy Administration Professional work assignments involve ... factors. Responsibilities The Senior Administrative Policy Professional is..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..
Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's Provider Medicaid operational business. The Associate ..
Description The Senior Risk Management Professional identifies, analyzes, and works to mitigate potential sources of risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing ..
