Insurance Regulatory Jobs

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 Professional 2 (CP2) develops and implements compliance policies and procedures, researches compliance issues and recommends changes that ensure Humana is compliant with contractual obligations with a focus on ..

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 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 ..

... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Specialty lines of ... issues, conduct research, and provide..

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

Job Information Humana Senior Compliance Professional - Medicaid State Reporting in Dover Delaware Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..

Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Dover Delaware Description We are looking for a talented risk and compliance expert to help build a best ..

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 ..

... business requirements, provide research and regulatory interpretation, and advise internal business ... business requirements, provide research and regulatory interpretation, and advise internal business ... to evidence meeting compliance and..

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 ..

... 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..

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 ..

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 ..

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

Job Information Humana Compliance Lead - Remote in Dover Delaware Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..

Description The Compliance Lead ensures compliance with governmental requirements and works on problems of diverse scope and complexity ranging from moderate to substantial utilizing reporting and analytics. Exercises independent judgment and ..

Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Dover Delaware Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..

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 ..

Job Information Humana IT Exception Management Professional 2 in Dover Delaware Description Are you a fit? Do you have a passion for being able to impact and influence the direction of ..

Job Information Humana Compliance (UM) Coordinator 2 in Dover Delaware Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and moderately ..

Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Dover Delaware Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..

Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Dover Delaware Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..