Regulatory Policy Specialist Jobs

Surveillance Product Specialist The Candidate will be responsible for creating, enhancing and implementing surveillance scenarios and conducting surveillance reviews. Improving surveillance tools and applications by coordinating with Information Technology on the ..

SVP Surveillance Product Specialist Duties: Serves as a Surveillance ... Serves as a Surveillance Product Specialist in the Compliance Surveillance function ... track and intemperate rule changes, regulatory guidance, industry..

Job Information Bristol Myers Squibb Lead Engineer in Jersey City New Jersey Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Jersey City New Jersey Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..

... opportunity for a Risk Analysis Specialist II within our Global Risk ... analytics address both internal and regulatory requirements, such as quarterly Enterprise ... develops analytical tools to support..

Job Information Humana Senior Cyber Data Manager (remote virtual home office) in Jersey City New Jersey Description The Senior Cyber Data Protection Engineer will operate as a member of the [Author ..

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 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 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 ..

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 ..

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Jersey City New Jersey Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

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 UM Medical Director - Conviva in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..

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 Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Jersey City New Jersey Description The Fraud and Waste Professional 2 conducts investigations of ..

nResponsible for executing, monitoring, and training inventory best practices and standard operating procedures for the entire store, including both front end and pharmacy. Supports pharmacy inventory management activities, including receiving, counting, ..

Landlord Tenant Law Clerk (Legal Specialist) The candidate will perform specialized legal work and analysis in the Landlord-Tenant section of the Special Civil Part under the direction of the Civil Division ..

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, ..

Assistant General Counsel, Regulatory The candidate will render senior-level ... of the adoption of new regulatory initiatives, and serve as subject ... respect to complex and sensitive regulatory initiatives and..

Job Information Humana FP&A Lead, Medicaid Market in Jersey City New Jersey Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Jersey City New Jersey Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for ..

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 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 ..