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... Management Professional estimates the potential financial consequences of an occurring loss. ... in process consulting to support compliance within the Healthcare Services (HCS) organization. As a HCS ... (HCS)..
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..
... objectives, risk profile, and supplier's financial position for requisite categories Implement ... unit project implementations Drive corporate compliance to the preferred-supplier program via ... and implement sourcing programs and..
Job Information Humana Compliance Professional 2 - Medicaid in ... Capsule Be a part of Compliance - Use your business knowledge ... procedures, and programs supporting our compliance initiatives. Humana..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Job Information Humana Senior Compliance Professional- Medicare Sales and Marketing ... South Dakota Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Description The Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans ..
Description The Compliance (UM) Coordinator 2 conducts and ... Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied ... on semi-routine assignments. Responsibilities The Compliance..
... Aberdeen South Dakota Description The Financial Planning & Analysis Lead is ... leadership role with full market financial oversight over the South Carolina ... The position analyzes and forecasts..
... range of legal advice and services. The Assistant General Counsel provides ... and onehome, other Home Solutions services and products, such as durable ... and counsel on operational and..
... objectives, risk profile, and supplier's financial position for requisite categories Develop ... innovation for Humana Drive corporate compliance to the preferred-supplier program via ... and implement sourcing programs and..
Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
... governance, vendor management, disaster recovery, compliance, and first line risk management ... environment. Coordinates with privacy and compliance areas to help ensure applicable ... Information Technology/Security assessment, audit, or..
Job Information Humana Senior Compliance Professional - Disability and Life ... South Dakota Description The Senior Compliance Professional will analyze business requirements, ... business requirements, provide research and regulatory interpretation,..
... business areas to drive operational compliance. Humana is seeking a Risk ... will drive operational excellence, advance compliance results, and confirm audit readiness ... with business areas, Market leaders,..
Job Information Humana Compliance (UM) Coordinator 2 in Aberdeen ... Aberdeen South Dakota Description The Compliance (UM) Coordinator 2 conducts and ... Coordinator 2 conducts and summarizes compliance audits. The..
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 ..
... ensure utilization of Enclara Pharmacia services for optimal patient care and ... requested. Maintain current knowledge and compliance with industry regulatory requirements, policies and procedures. Ability ... support, account..
Job Information Humana Lead, IT Compliance - Technology Exams, Audits and ... accurate and appropriate responses to regulatory exams, internal and external audits, ... requires experience in responding to regulatory..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... South Dakota Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..
... Enterprise Risk Management, business units, regulatory agencies, and industry groups to ... risks are effectively managed and compliance objectives are achieved. In addition, ... in ensuring Humana's risk and..
... all aspects of the health services activities and other corporate entities ... other corporate entities to ensure compliance with established objectives and the ... realization of quality, economical healthcare..
... of EMR systems to ensure compliance with industry standards and regulatory requirements Identify and address technical ... software to ensure security and compliance with HIPAA regulations Oversee the .....
