Regulatory Operations Jobs

Job Information Humana Medicaid Associate Director, Compliance Nursing in Portland Maine Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

SUMMARY: If you are looking to work with smart people in a fast paced environment, lead culture change and partner with plant leadership to attract and develop talent to drive business ..

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 ..

... business requirements, provide research and regulatory interpretation, and advise internal business ... to Humana's Medicaid business partner operations areas and to recommend changes ... changes that assure compliance with..

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

Description The Senior Risk Management Professional identifies, analyzes, and works to mitigate potential sources of risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..

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

... 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..

... 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 ..

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 ..

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

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. ..

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 ..

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 Tyson Foods Human Resources Manager in Portland Maine At Tyson Foods, the safety of our team members is our top priority. For that reason, successful applicants for this position ..

... 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..

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. ..

... 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..

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 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 ..

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