Regulatory Operations Associate Jobs in Maine

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 Medicaid Associate Director, Compliance Nursing in Portland ... in Portland Maine Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..

Description The Associate Director, Credentialing/Compliance manages the Dental ... state and federal regulations.. The Associate Director, Credentialing/compliance requires a solid ... and external vendors/associations. Responsibilities The Associate Director, manages a..

... contract requirements, provide research and regulatory interpretation, perform auditing and monitoring, ... will: Interpret and define Medicaid regulatory and contract requirements to be ... and monitoring of Medicaid business..

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

... improve the Humana processes and associate experience? As a Critical Inquiry ... made by business partners and Regulatory agencies. You will present and ... improve the Humana processes and..

... changes that assure compliance with regulatory and contract obligations. Coordinates business ... compliance reviews of business partner operations. Monitors metrics and other oversight ... and apply laws, regulations, and..

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

... business requirements, provide research and regulatory interpretation, and advise internal business ... and monitoring of Medicaid business operations to ensure full compliance and ... monitor performance; Interpret and define..

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

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 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 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 ..

... changes that assure compliance with regulatory and contract obligations. Coordinates business ... compliance reviews of business partner operations. Monitors metrics and other oversight ... and apply laws, regulations, and..