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Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Job ID 21000KM5Available Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
Job ID 21000LYPAvailable Openings 1Position Specific Information Full time available if willing to work in other clinics in the area.PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility ..
Description The Associate VP, Network Engineering will design, develop, execute and operate Humana's next generation Network infrastructure capability. This position will provide executive leadership to a team of 50 FTEs and ..
... Professional creates awareness of current regulatory issues and ensures compliance of ... as follows: Monitor and analyze regulatory requirements to assess contract language ... initiatives, administrative practices, and applicable..
Corporate Cyber Security Attorney The candidate will work closely with General Counsel, Privacy and Security and Chief Privacy Officer on a range of cyber security and privacy matters. Conduct legal analysis ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Sign On Bonuses for RN's and LPN's! Full Time: $5,000 Part Time: $2,500 Genesis is one of the leading providers of healthcare services from short-term to long-term care and a wide ..
Immigration Paralegal (Remote) Date: Dec 17, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment to innovation that lies at ..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Pharmacy Benefits and ... issues, conduct research, and provide..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description The IT Compliance Professional 2 audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Portland Maine Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Description The Associate Director, Cloud Network Architecture will design, provide vision and strategy, develop, and execute Humana's Cloud Network architecture and environments. This is a management and leadership position that will ..
Job Information Humana Telephonic Care Manager in Portland Maine Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral ..
Job Information Humana UM Medical Director - Conviva in Portland Maine Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
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 ..
Description The Compliance (UM) Coordinator 3 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical ..
Description Humana's technology environment has pivoted from a centralized model over the last several years to a more federated model. This trend will continue and accelerate to the point where Humana's ..
Description The IT Compliance Professional audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
Description The National Delegation Oversight and Support (NDOS) Associate Director role within the Value Based Strategies team, will collaborate with our Operational Risk Management, Delegation Compliance, various functional business owners (such ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Portland Maine Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Portland Maine Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..