Regulatory Field Jobs in Vermont

Job Information Humana Medicaid Associate Director, Compliance Nursing in Montpelier Vermont 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 Compensation Lead - Career Framework, Market Analysis, Regulatory in Montpelier Vermont Description The Compensation Lead develops, implements, and administers compensation programs. The Compensation Lead works on problems of ..

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 ..

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

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 Director, Care Delivery and EMR/EHR Technology in Montpelier Vermont Description The Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives specific 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..

Description The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. ..

Client: Advance Transit Website: (link removed) Position Title: Controller Reports To: Executive Director Location: Wilder, Vermont About Advance Transit: Advance Transit is a not-for-profit charitable organization that offers fare-free transit services ..

SCOPE OF WORK: The HR Leave Specialist manages employee leave of absence requests (FMLA, VPFL, etc.), ADA requests, and the workers compensation program. This role enters and maintains employee data in ..

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 ..

Job Information Humana Senior Compliance Professional- Medicare Sales and Marketing in Montpelier Vermont Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..

... 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..

... 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..

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 ..

... information for tax reporting and regulatory filings. Review and reconcile tax ... points of contact with state regulatory agencies and systems, including state-based ... including state-based web portals, approved..

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

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 Manager, Compliance - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works within specific guidelines and procedures; applies advanced technical knowledge to ..

... a Compliance & Financial and Regulatory Reporting Specialist! The role is ... Premium Tax Reports and various Regulatory filings for our clients in ... Annual Premium Tax Returns and..

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 ..