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... from moderate to substantial utilizing reporting and analytics. Exercises independent judgment ... compliance program which includes metrics, reporting, issue tracking and resolution, and ... as a technical leader for..
Job Information Humana Medicaid Associate Director, Compliance Nursing in San Juan Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..
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 ..
... are centrally documented in the Regulatory Repository Coordinate and compose time ... time sensitive responses to incoming regulatory inquiries and issues reflective of ... reports, prior to submission to..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in San Juan Puerto Rico Description The Fraud and Waste Professional 2 conducts investigations of ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in San Juan Puerto Rico Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
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. ..
Description Would you like to be a member of the information security team serving the J.D. Power #1 ranked U.S. mail order pharmacy for the last 4 years in a row? ..
Description The Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans ..
Description The Senior Financial Reporting Professional will serve as the ... accounting, administrative and all other reporting duties are performed accurately and ... basis. Responsibilities The Senior Financial Reporting Professional..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Network and Credentialing ... issues, conduct research, and provide..
Description The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to ..
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 medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... 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..
Immigration Paralegal (Remote) Date: Dec 17, 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 ..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in San Juan Puerto Rico Description We are looking for a talented risk and compliance expert to help build ..
Description The Business Analyst, Level I will be responsible for supporting the analysis of client performance indicators, measuring and benchmarking our business operations and assisting with new product offering analyses. The ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in San Juan Puerto Rico Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior ..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
Description The Lead, Information Technology & Data Governance Risk Oversight, identifies, analyzes, monitors and minimizes areas of risk that pertain to information technology and data governance. Coordinates closely with the Information/Cyber ..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Pharmacy Benefits and ... issues, conduct research, and provide..