- Humana (Charleston, WV)
- …as an interim compliance officer if needed. **Responsibilities** As a Senior Compliance Professional for our Medicaid business, you will be part of a ... and the healthcare industry as a whole. **Description** The Senior Compliance Professional ensures ...business results, you will: + Support implementation of new Medicaid contracts end to end, which could include serving… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Senior Medicare- Medicaid ... in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare- Medicaid . This includes maintaining the… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will ... and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities...of Health (LDH) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects… more
- Prime Healthcare (Redding, CA)
- …Responsibilities The Senior Medicare- Medicaid ... in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare- Medicaid . This includes maintaining the… more
- BlueCross BlueShield of North Carolina (NC)
- …to their development and continuous improvement. If you are a detail-oriented legal professional with a strong understanding of Medicaid regulations and a ... team as an Associate Counsel for our Health Blue Medicaid line of business. In this role, you will:...to hear from you! + Advises and counsels Company senior management on diverse issues of laws that arise… more
- Humana (Cheyenne, WY)
- …a part of our caring community and help us put health first** The Senior Insurance Product Compliance Professional researches, analyzes, assesses risk and ... D, Group Specialty, and Individual Specialty), licensure or corporate structure. The Senior Insurance Product Compliance Professional work assignments… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Senior Compliance Professional develops and implements compliance policies and ... Researches compliance issues and recommends changes that assure compliance with DSNP contract obligations. Maintains relationships with government agencies.… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Manager, Compliance Delegation Oversight Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Senior Manager, Compliance Delegation Oversight is a...Certified in Healthcare Compliance Fellow (CHC-F) Certified Compliance & Ethics Professional (CCEP) Project Management… more
- IQVIA (Wayne, PA)
- …and across the life sciences industry with designing, enhancing, and executing commercial compliance programs. In this Senior Consultant role, you will support ... **JOB OVERVIEW:** IQVIA's Global Commercial Compliance Consulting practice supports clients of all sizes and maturity,… more
- CareFirst (Baltimore, MD)
- …Healthcare Compliance Preferred or + CRCM - Certified Risk and Compliance Professional Preferred or + Lean Six Sigma Certification-IASSC Preferred or ... benefits/incentives are subject to eligibility requirements). **Department** Medicare and Medicaid Compliance **Equal Employment Opportunity** CareFirst BlueCross… more