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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 ..
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 ..
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 ..
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 ..
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 ..
... 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 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 ..
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 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 ..
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. ..
: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 ..
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 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 ..
... 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 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 ..
... 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 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 ..
Director, Circularity (Remote) Date: Dec 15, 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 ..
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 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 ..