Management Jobs

... Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... and quality performance and staffing management. Detailed Responsibilities include: Leads Medicaid ... Medicaid operational process and workforce..

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 Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

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

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

Apply Now Share this job Send yourself a reminder Alert me to jobs like this one Compliance Data Analytics Ass Sumitomo Mitsui Banking Corporation (Jersey City, NJ) seeks Compliance Data Analytics ..

Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Jersey City New Jersey Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve ..

Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..

Job Information Humana Senior Compliance Professional - Disability and Life Insurance in Jersey City New Jersey Description The Senior Compliance Professional will analyze business requirements, provide research and regulatory interpretation, and ..

Job Information Humana Senior Compliance Professional (Network & Credentialing) in Jersey City New Jersey Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve ..

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 Compliance Lead 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 develops and ..

Job Information Humana Compliance Lead - Remote in Jersey City New Jersey Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and ..

... both hardware and software asset management processes including full software lifecycle ... processes including full software lifecycle management, compliance, optimization, audit data requests ... contracts into the software asset..

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 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 Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Jersey City New Jersey Description We are looking for a talented risk and compliance expert to help build ..

... security audit Ensure Humana Vulnerability Management meets all Enterprise and DoD ... NIST Guidance Team Building and Management Work with team members to ... experience 2 years of IT..

Job Information Humana IT Exception Management Professional 2 in Jersey City New Jersey Description Are you a fit? Do you have a passion for being able to impact and influence the ..

Job Information Humana Senior Compliance Professional, Specialty Compliance in Jersey City New Jersey Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involving moderately ..

Description The Manager, 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 Manager, Compliance ..

Job Information Humana Manager, Compliance - Agent Investigation Unit in Jersey City New Jersey Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and ..