Regulatory Compliance Director Jobs in Hawaii

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 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 Medical Director relies on fundamentals of CMS ... per diem requests. The Medical Director provides medical interpretation and determinations ... cases) contracts. Responsibilities The Medical Director provides medical..

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 Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..

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

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..

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 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 Director, Care Delivery and EMR/EHR Technology ... in Honolulu Hawaii Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..

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 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 Medicaid Associate Director, Compliance Nursing in Honolulu Hawaii Description ... Honolulu Hawaii Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... occurs within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical..

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..

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

Description The Director, Actuarial Risk and Compliance is responsible for the overall ... approaches to minimize risks. The Director, Actuarial Risk and Compliance requires an in-depth understanding of ... function..

... Medicare Appeals and Grievance Medical Director in Honolulu Hawaii Description The ... Honolulu Hawaii Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..

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..

Job Information Humana Director, Technology Risk Management in Honolulu ... in Honolulu Hawaii Description The Director, Technology Risk Management is responsible ... highly effective leadership. Responsibilities The Director, Technology Risk..