THE LARGEST COLLECTION OF JOBS ON EARTH
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
Description The Risk Management Lead identifies and analyzes potential sources of loss to minimize risk. The Risk Management Lead works on problems of diverse scope and complexity ranging from moderate to ..
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 ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in ... Puerto Rico Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Company Name: Kroger Specialty Pharmacy Position Type: Employee FLSA Status: POSITION SUMMARY Responsible for managing evaluation, implementation, and monitoring of Health and Wellness quality improvement projects; analyzing and summarizing quality data ..
Description The IT Compliance Professional audits the most complex ... information systems procedures are in compliance with corporate standards. The work ... This is a fast paced compliance focused role..
... philosophy. Adhere to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.Under close ... standard operating procedures and pertinent regulatory requirements, ensuring patient confidentiality at .....
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions ... therapy to the patient in compliance with standards outlined in the .....
PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Responsible for maintaining the ..
Job ID 21000FTKAvailable Openings 1Position Specific Information Mantenimiento Part-Time PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ..
Description The Provider NetworkSenior Network Operations Professional works with the Network Operations lead to oversee the plan's strategic opportunity for growth, audit/survey analysis, action plan oversight, implementation and coordination, provider services ..
Company Name: Kroger Specialty Pharmacy Position Type: Employee FLSA Status: N/A POSITION SUMMARY Support the Pharmacy operations by providing a series of routine services required by manufacturers and regulators related to ..
Job Information Humana UM Medical Director - Conviva in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Job Information Humana Compliance (UM) Coordinator 2 in San Juan Puerto ... Juan Puerto Rico Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator..
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 Seeking Senior..
