Regulatory Compliance Director Jobs in Montpelier

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

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'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 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 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 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..

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... in Montpelier Vermont 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..

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 .....

Job Information Humana Director, Campaign Management & Personalization in ... Description Humana is seeking a Director, Campaign Management & Personalization who ... operations, and performance management. The Director will provide..

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

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 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 ..

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

Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Operations Director requires an ..

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

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 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 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 Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Operations Director requires an ..