Regulatory Compliance Director Jobs

Description The Director, Business Intelligence solves complex business ... provide insight to decision-makers. The Director, Business Intelligence requires an in-depth ... function or segment. Responsibilities The Director, Business Intelligence describes..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Fargo North Dakota ... North Dakota Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..

Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..

Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... and Sunday. Responsibilities The Medical Director provides medical..

Description The Director, IT Compliance audits the most complex new ... information systems procedures are in compliance with corporate standards. The Director, IT Compliance requires an in-depth understanding of .....

Description This role will strengthen our Insurance Product Delivery Management Team to drive end-to-end Insurance Product projects cooperating closely with our Product Strategy, Enablement, Finance, IT, Compliance and Sales / Account ..

Description The Director, Pharmacy Clinical Formulary and Medical ... the formulary strategies. Responsibilities The Director, Pharmacy Clinical Formulary and Medical ... managed care, PBM, market and regulatory insights to develop..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead will analyze business requirements, ... business requirements, provide research and regulatory interpretation, and advise internal business ... in..

Job Information Humana UM Medical Director - Conviva in Fargo North ... North Dakota Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... Fargo North Dakota Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

Description The Medical Director actively uses their medical background, ... occurs within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Fargo North Dakota Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..

Description The Director, Cyber Security Policy and Standards ... policy and control requirements. The Director role oversees the complete policy ... goals and to align with compliance and risk processes...

Description The Compliance Lead ensures compliance with governmental requirements and works ... include: Responsible for effectiveness of compliance program which includes metrics, reporting, ... process improvements and automation to compliance..

Description The Director, Compensation develops, implements, and administers ... and administers compensation programs. The Director, Compensation requires an in-depth understanding ... function or segment. Responsibilities The Director, Compensation is aligned..

Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... rotating basis Responsibilities The Medical Director provides medical..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... North Dakota Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..

... Medicare Appeals and Grievance Medical Director in Fargo North Dakota Description ... North Dakota Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..

Job Information Humana Director, Technology Risk Management in Fargo ... Fargo North Dakota Description The Director, Technology Risk Management is responsible ... highly effective leadership. Responsibilities The Director, Technology Risk..

Description The Medical Director actively uses their medical background, ... occurs within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work..

Description The Associate Director or Cloud Platforms leads the ... business needs. Responsibilities The Associate Director of Cloud Platforms performs technical ... scalability of cloud-based infrastructure. Ensure compliance with industry..

Description The Director, Market Development provides support to ... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. ... federal contract application submissions. The Director, Market Development requires..

Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and ... manages the Dental Credentialing and Compliance team ensuring that dental providers ... Humana's Dental Networks operate in compliance with..