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Description The Director, Business Intelligence solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Director, Business Intelligence requires an in-depth understanding ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Albany New York Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
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 ..
Title: SADC QA Analyst Location: Albany, NY Will be hybrid with remote and in-office work. Candidates should be local to the area or willing to relocate. Duration: through 12/31/2022 As a ..
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 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 ..
Title: QA Analyst Duration: 12 months Location: Albany Remote for now, due to COVID As a Quality Assurance (QA) Analyst, you will collaborate with team members to support our clients through ..
Description The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. ..
Title: Healthcare Compliance Analyst Location: Albany, NY - Will be remote for now, due to COVID Duration: 12 months Job Duties Evaluate child/youth's case for compliance to applicable regulations. Clearly communicate ..
Job Information Humana Compliance (UM) Coordinator 2 in Albany New York Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and ..
... 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 Manager, Compliance - Agent Investigation Unit in Albany New York Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; ..
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- Medicare Sales and Marketing in Albany New York Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve ..
Job Number: R0134110 Cyber Compliance Manager Key Role: Lead framework-based assessments to ensure businesses meet all their regulatory data security requirements pertaining to their industry's cyber compliance needs while helping them ..
... business requirements, provide research and regulatory interpretation, and advise internal business ... Professional will serve as the Regulatory Compliance subject matter expert for ... and apply laws, regulations, and..
... 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..
Description The Director, IT Compliance audits 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 ..
