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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 ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... on the company’s Cybersecurity, privacy, regulatory, legislative, and contractual obligations. Responsibilities ... of DoD and related federal regulatory compliance laws, mandates, and other ... experience with legal, privacy, and..
Job Information Humana Telephonic Care Manager in Springfield Missouri Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral ..
Description Humana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulatory agencies, and industry ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Springfield Missouri Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..
Description The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts or facilitates learning experiences for Humana Military associates and/or external audiences. The LFP2 creates an environment that is conducive to learning ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Springfield Missouri Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Springfield Missouri Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Springfield Missouri Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Paralegal Duties: The candidate will manage contract intake requests for the GBS Legal team through the contract workflow tool. Assist with day-to-day activities as needed to support the GBS Legal team, ..
Job Information Humana Assistant General Counsel, Home Solutions in ... in Springfield Missouri Description The Assistant General Counsel provides a full ... legal advice and services. The Assistant General Counsel..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Springfield Missouri Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana Director, Care Delivery and EMR/EHR Technology in Springfield Missouri Description The Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives specific to ..
Job Information Humana Compliance (UM) Coordinator 2 in Springfield Missouri Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and moderately ..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
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Job Information Humana Integrated Healthcare Delivery Regulatory Counsel in Springfield Missouri Description The Senior Counsel provides a full range of legal advice and services on issues related to the operations of ..