Insurance Regulatory Jobs in Pittsburgh

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 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 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 Senior Compliance Professional- REMOTE (Anywhere in the US) in Pittsburgh Pennsylvania Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..

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 ..

... 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..

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

... Professional - Disability and Life Insurance in Pittsburgh Pennsylvania Description The ... business requirements, provide research and regulatory interpretation, and advise internal business ... for Humana's Disability and Life..

... 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 Compliance Lead - Illinois Medicaid in Pittsburgh Pennsylvania Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ..

... business requirements, provide research and regulatory interpretation, and advise internal business ... monitor performance; Interpret and define regulatory and contract requirements to be ... set of data relating to..

Job Information Humana Senior Compliance Professional- Medicare Sales and Marketing in Pittsburgh Pennsylvania Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..

... 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..

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

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 ..

... 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..

... contract requirements, provide research and regulatory interpretation, perform auditing and monitoring, ... will: Interpret and define Medicaid regulatory and contract requirements to be ... be used to evidence meeting..

... 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..

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

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 Senior Compliance Professional-Remote/Virtual in US in Pittsburgh Pennsylvania Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..

Job Description Company Description Veolia Group aims to be the benchmark company for ecological transformation. With nearly 220,000 employees worldwide, the Group designs and provides game-changing solutions that are both useful ..