- Humana (Lansing, MI)
- …role are generally aligned based on the associate and business task at hand. The Quality Compliance Professional participates in performance and quality ... external and internal, required by NCQA and the State Contract. The Quality Compliance Professional (2) participates in, with potential to lead, Kentucky… more
- Humana (Lansing, MI)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Compliance Professional will support the Director of Compliance , by ... an in-depth evaluation of variable factors. As the Senior Compliance Professional , you will develop and/or evaluate...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Humana (Lansing, MI)
- …our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental and ... judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the execution of the… more
- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Quality Audit Professional 2 analyzes and investigates quality issues. The ... independent determination of the appropriate courses of action. The Quality Audit Professional 2 supports the Healthcare...and presents to Patient Safety Peer Review Committee. Audits quality cases for compliance and participates in… more
- Option Care Health (Lansing, MI)
- …processes with our business teams and other functions. Collaborate with Compliance Operations on healthcare professional engagement process, Corporate Integrity ... the best and brightest talent in healthcare. **Job Description Summary:** The Vice President, Compliance Business Partner is a key leader on the Compliance team… more
- Prime Therapeutics (Lansing, MI)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) ... Professional , Manager, Director or Senior Director in the Compliance department Potential pay for this position ranges from...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- CBRE (Lansing, MI)
- …dynamic environment. - Pragmatic Approach: A practical, risk-based mindset in addressing compliance challenges. Technical & Professional Skills - Education & ... degree with 5-8 years of relevant experience in data governance, data quality management, electronic information systems, and/or compliance in a multinational… more
- Prime Therapeutics (Lansing, MI)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) ... drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Intelligence...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Prime Therapeutics (Lansing, MI)
- …Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of study, ... and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The ...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- United Therapeutics (Lansing, MI)
- …thrive in a dynamic environment, proactively identifying risks and opportunities to enhance compliance awareness. As a leader, you like to mentor and can partner ... effectively with fellow compliance teammates, in addition to other stakeholders and vendors....a direct report + Ability to build and maintain professional relationships with internal stakeholders + Ability to work… more
- Prime Therapeutics (Lansing, MI)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Previous Healthcare, Health Insurance, and/or Pharmacy ... drives every decision we make. **Job Posting Title** Manager, Compliance - Remote **Job Description** The Compliance ...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Sumitomo Pharma (Lansing, MI)
- …leadership in transparency regulations, data governance, cross-functional collaboration, and compliance operations. The compliance professional must ... motivated, and experienced individual for the position of **Director, Compliance .** This Director will be part of the ...program as applicable + Lead the resolution of data quality issues and drive root cause analyses, remediation, and… more
- Western Digital (Lansing, MI)
- …and consumers alike under our Western Digital(R), WD(R), WD_BLACK (TM) , and SanDisk(R) Professional brands. We are a key partner to some of the largest and ... of data storage. **Job Description** This Analyst enables the Ethics and Compliance team to deliver training and targeted messaging to Western Digital's global… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. **Job Description** ... a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. Job Description… more
- Humana (Lansing, MI)
- …to the compliance of Humana producers. The Business Technical Support Professional will work assignments involve moderately complex to complex issues where the ... of our caring community and help us put health first** The Business Technical Support Professional provides support for handling and analyzing data that pertains… more
- Humana (Lansing, MI)
- …and help us put health first** We are seeking a Senior Accreditation Professional who will work in a team environment on Humana's health plan accreditations, ... performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. **Role Responsibilities:** + Serves as… more
- Humana (Lansing, MI)
- …make pragmatic, data-driven decisions that balance cost efficiency with quality . Our entrepreneurial spirit fosters innovation and proactive problem-solving, ... and promote sustainable growth and competitive advantage. The Senior Procurement Professional - Medical Equipment will spearhead the strategic sourcing and… more
- CenterWell (Lansing, MI)
- …an in-depth evaluation of variable factors. The Senior Pharmacy Contracting Professional ensures contract compliance and performs analysis regarding pharmacy ... and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of Humana's Healthy… more
- Humana (Lansing, MI)
- …and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of ... encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance… more
- Humana (Lansing, MI)
- …caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data to connect financial ... outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex to complex issues where the analysis of… more