Regulatory Field Jobs

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

Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and Compliance team ensuring that dental providers are Credentialed/Re-credentialed according to CMS and State guidelines and that Humana's Dental Networks operate in ..

Job Information Humana Compliance (UM) Coordinator 2 in Salem Oregon Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and moderately ..

Job Information Humana Assistant General Counsel, Home Solutions in Salem Oregon Description The Assistant General Counsel provides a full range of legal advice and services. The Assistant General Counsel provides strategic ..

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 ..

... contract requirements, provide research and regulatory interpretation, perform auditing and monitoring, ... will: Interpret and define Medicaid regulatory and contract requirements to be ... be used to evidence meeting..

Job Information Humana Regional Medicaid Business Development Vice President in Salem Oregon Description Responsibilities Humana's Regional Medicaid Business Development Leader will direct the field-based market development efforts and report directly to ..

... 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 Medicaid Encounters Lead (Medicaid) - Remote, US in Salem Oregon Description The Medicaid Encounters Lead is responsible for monitoring and oversight of the end-to-end encounter management workflow for ..

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

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

... business requirements, provide research and regulatory interpretation, and advise internal business ... changes that assure compliance with regulatory and contractual obligations. Responsibilities Responsibilities ... be used to evidence meeting..

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

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

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

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. ..

Job Information Humana Lead, IT Compliance - Technology Exams, Audits and Inquiries in Salem Oregon Description The Lead, Technology Exams, Audits and Inquiries is responsible for management of formal and informal ..

Job Information Humana Director, Behavioral Health Strategy in Salem Oregon Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..

:text,ActualValueFromSolar:null},{QuestionName:Recruiter,AnswerValue:Myriam Holguin,VerityZone:recruiterid,QuestionType:Multi-Select,ActualValueFromSolar:null},{QuestionName:Opportunity Overview,AnswerValue:u003cspan style=font-family:Arial,Helvetica,sans-serif;\u003eu003cstrongu003eIf you’re looking for a challenging and rewarding career,u003c/strongu003e the Registered Branch Associate role at Edward Jones may be the right opportunity for you. Registered Branch Associates create ..

... (DCBS) is a progressive business regulatory state agency dedicated to the ... Science, Information Technology, or related field, OR completion of a two ... in information technology or related..

... (DCBS) is a progressive business regulatory state agency dedicated to the ... critical systems to meet the regulatory requirements for each program and ... Science, Information Technology, or related..

Job Information Humana Sr Learning Design Professional- Nationwide-1 in Salem Oregon Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution ..

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 ..