Regulatory Manager Jobs in Pittsburgh

Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..

Description The Account Manager is responsible for managing and ... with hospice clients. The Account Manager works to ensure that Enclara ... extended service offerings. The Account Manager works in..

Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager work assignments involve moderately complex ... seeking a Senior HEDIS Data Manager to..

... industries. Job Description The Project Manager III is responsible for planning, ... water for administrative purposes and regulatory agencies. 11. Administers client contracts ... and/or review of reports to..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Pittsburgh Pennsylvania Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..

Job Information Humana Senior Project Manager -- Remote in Pittsburgh Pennsylvania ... Pennsylvania Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... Government. Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will..

Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities ..

... future. n Position Title: Branch Manager 3 Business Unit: Retail Reports ... service to every customer. Branch Manager 3 designations apply to retail ... as directed by the Market..

Job Information Humana Insurance Product Manager 2 - Part D in Pittsburgh Pennsylvania Description The Part D Team is responsible for leading, planning and tracking all phases of the product life ..

... Compliance Program, including following all regulatory and FMS policy requirements. Ensure ... with all legal, compliance, and regulatory requirements and programs. Adheres to ... standards through meeting all ESRD..

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

Description The Senior Insurance Product Manager Manages insurance product offerings for Part D. The Senior Insurance Product Manager work assignments involve moderately complex to complex issues where the analysis of situations ..

Customer Support Manager- SureService','21014881','United States-Pennsylvania-Pittsburgh','','Customer Service','Dec 13, 2021','!*! If you are a highly technical and customer focused individual looking for an opportunity to grow in a management role, Emerson has an ..

Job Information Humana Lead Product Manager - Healthcare API in Pittsburgh Pennsylvania Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..

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 ..

We have an immediate opportunity for Case Managers. General Summary: The Case Manager coordinates and manages services provided to each patient to establish a focused, individualized program geared towards specific goals ..

Description The Manager, 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 Manager, 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 ..

... Compliance Program, including following all regulatory and FMS policy requirements. Ensure ... with all legal, compliance, and regulatory requirements and programs. Adheres to ... standards through meeting all ESRD..

... Please wait. Security and Compliance Manager eNGINE Pittsburgh, Pennsylvania NEW! NEW! ... & Industry Recruiters Butler, Pennsylvania Manager of Application Deployment Orrick, Herrington ... LLP Wheeling, West Virginia IT..

nGeneral Manager in Trainingnn$1,000 Sign on Bonus; ... responsibilities of a Coen Store Manager. The MIT will work directly ... directly with their assigned Store Manager to learn, apply, and..