Regulatory Field Jobs in Albuquerque

Job Information Humana Medicaid Associate Director, Compliance Nursing in Albuquerque New Mexico Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..

Job Information Humana Compliance (UM) Coordinator 2 in Albuquerque New Mexico Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and ..

... business requirements, provide research and regulatory interpretation, and advise internal business ... monitor performance; Interpret and define regulatory and contract requirements to be ... set of data relating to..

Description Humana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulatory agencies, and industry ..

House Supervisor - PRN Department: House Supervisors Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for the overall operations, and implementation and evaluation of activities for inpatient ..

Department: Pulmonary Services FTE: 0.60 Part Time Shift: Days Position Summary: Assess, plan, develop, implement and evaluate clinical and non-clinical educational programs for the Health System. Ensure adherence to Hospital and ..

Description The Lead, Technology and Cybersecurity Exams, Audits, and Client Inquiries is responsible for management of formal and informal technology reviews across IT. This involves a rigorous process which shapes and ..

Job Information Humana Manager, Compliance - Agent Investigation Unit in Albuquerque New Mexico Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; ..

Description Humana is seeking a skilled Senior Network Engineer who is a real self-starter and ready to make a positive impact! This person will be directly responsible for leading work on ..

Description This role will lead a cross-functional technology product team focused on building a world-class developer experience for Humana's external virtual care partners. Integrations in healthcare are often labor-intensive, bespoke, and ..

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..

Description The Director, IT Compliance 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 Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intelligence gathering and strategy formulation Responsible ..

Master Social Worker - PRN Department: Case Management Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Social Worker Case Manager provides complex care coordination services to patients and ..

... business requirements, provide research and regulatory interpretation, and advise internal business ... Professional will serve as the Regulatory Compliance subject matter expert for ... and apply laws, regulations, and..

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

Job Information Humana Director, Care Delivery and EMR/EHR Technology in Albuquerque New Mexico Description The Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives specific ..

Description The Supply Chain Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA (Drug Supply Chain Security Act) compliance related tasks in support of Humana's Pharmacy inventory receiving operations. ..

Description The Lead, IT Compliance assesses 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 ..

Job Information Humana Compensation Lead - Career Framework, Market Analysis, Regulatory in Albuquerque New Mexico Description The Compensation Lead develops, implements, and administers compensation programs. The Compensation Lead works on problems ..

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..

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 Associate Director or Cloud Platforms leads the planning, design, and engineering of Humana's AWS and GCP environments. The ideal candidate will have a strong technical background in cloud architecture ..