Regulatory Engagement Manager Jobs in Anchorage

Description The Manager, Clinical Compliance and Risk serves ... state and federal legislative and regulatory guidelines, support internal and external ... is audit ready. Responsibilities The manager leads a team..

Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... you succeed, we succeed! The Manager, Care Management oversees..

Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Anchorage Alaska Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..

Job Information Humana Learning Facilitation Professional 2- Remote in US in Anchorage Alaska Description The Learning Facilitation Professional 2 conducts or facilitates training courses for organization employees or external audiences. The ..

Description The Manager, Membership and Plan Services (MPS) ... Where you Come In The Manager, MPS Risk Management will: Design, ... knowledge of the legal and regulatory environment, as it..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Anchorage Alaska Description The Senior Learning Facilitation Professional will focus on integration and implementation of training solutions for both internal and ..

Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Anchorage Alaska Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..

Job Information Humana Director, IT Program Risk Management in Anchorage Alaska Description The Director, Program Risk Management is responsible for identifying and driving remediation of risks across Humana's IT portfolio. This ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Anchorage Alaska Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..

Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Anchorage Alaska Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..