Regulatory Policy Specialist Jobs in Louisville

Description This role is on the Humana At Home Special Needs Plan Compliance Review team within Home Solutions Compliance and Risk Management. The Quality Assurance Professional 2 performs audits to establish ..

Description The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance Lead (SNP) ..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..

Complex Claims Specialist - Program Law Duties: The candidate performs a combination of duties in accordance with departmental guidelines. Manages an inventory of moderate to high complexity and exposure commercial claims ..

... and local, state and federal regulatory requirements. Performs cost containment activities ... the manufacturer and established company policy and procedures, including maintaining aesthetics ... and local, state and federal..

Senior Wealth Planning Analyst Duties: The candidate partners with Wealth Strategists, WMAs and other specialists to deliver discovery experience to prospects and clients with a general focus on clients with greater ..

PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader ..

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 ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Louisville Kentucky Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Purpose and Scope: We are seeking a highly motivated individual to join us as a Payroll Manager. In this position, the Manager is a business finance and human resources professional who ..

Complex Claims Specialist - Program Law Duties: The candidate performs a combination of duties in accordance with departmental guidelines. Manages an inventory of moderate to high complexity and exposure commercial claims ..

This Quality Specialist III is responsible to provide ... to ensure compliance with applicable regulatory and industry standards. Identify quality ... a compliant and efficient mannerSupport regulatory (i.e. FDA, EMA)..

Work type: Full Time Administrative Location: Sellersburg, IN Categories: Administrative/Professional General Description of Position: The Assistant Director of Marketing combines skills in marketing, content creation, strategic communication, and customer service to ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

... a Payroll Tax and Reporting Specialist. In this position, the Specialist helps to plan, develop, and ... collaboration with the Controller, the Specialist ensures that proper controls and .....

Senior Wealth Strategist Duties: The candidate serves as the primary Wealth Planning expert and resource for high net worth prospects and client relationships (> $10MM investable and/or $15 million in net ..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. This role will focus on Humana's ..

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 Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Louisville Kentucky Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..

Contract Specialist, GS-09 Duties: The candidate performs professional work involving the procurement of supplies and services using procedures outlined in the Federal Acquisitions Regulations, VA Acquisition Regulations, Public Laws, and Agency ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

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 ..