- Humana (Providence, RI)
- … compliance as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex ... situations or data requires an in-depth evaluation of variable factors. The Senior Compliance Professional ( Medicaid State Reporting) will be responsible… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. ... The Senior Compliance Professional work assignments involve moderately complex to complex issues...+ _Manage, Organize and Monitor the internal Humana Ohio Medicaid mailbox_ + _Create reports, spreadsheets and Power Point… more
- Prime Therapeutics (Providence, RI)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) ... and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description**...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Humana (Providence, RI)
- …relationships with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you...management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of… more
- Humana (Providence, RI)
- …company committed to improving the health of the communities it serves. The Senior Insurance Product Content Professional will oversee and manage projects for ... of providing frameworks to maximize available resources to achieve growth. The ** Senior Insurance Product Content Professional ** creates content for insurance… more
- Prime Therapeutics (Providence, RI)
- …Structure** + Reports to Sr Professional , Manager, Director or Senior Director in the Compliance department Potential pay for this position ranges ... and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) -...and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management… more
- Humana (Providence, RI)
- …between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with department leadership, ... a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful… more
- Prime Therapeutics (Providence, RI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** Job Description The ... Senior Compliance Analyst assists in the implementation...and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management… more
- CenterWell (Providence, RI)
- …and maintenance of Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to ... in-depth evaluation of variable factors. The Senior Pharmacy Contracting Professional ensures contract compliance and performs analysis regarding pharmacy… more
- Prime Therapeutics (Providence, RI)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** The Senior ... Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) Certified Project Management Professional (PMP)… more
- Humana (Providence, RI)
- …of our caring community 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… more
- Humana (Providence, RI)
- …initiatives across transformation initiatives. Through discovery, analysis and findings, the Senior Professional will work to identify areas of opportunity ... to optimize business operations that improve productivity and efficiencies. The Senior Professional will exercise considerable latitude in determining objectives… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Senior Professional , Creative Development collaborates with Stars and Risk Adjustment teams to ... creative writing to educate provider audiences on Humana's initiatives. The Senior Professional , Creative Development work assignments involve moderately complex… more
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Senior Installation Administration Professional establishes and manages relationships with internal ... cards issued, claims opened for processing and certifications issued. The Senior Installation Administration Professional work assignments involve moderately… more
- Humana (Providence, RI)
- …a part of our 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...off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
- Humana (Providence, RI)
- …we optimize procurement and promote sustainable growth and competitive advantage. The Senior Procurement Professional - Medical Equipment will spearhead the ... relationships to foster collaboration and continuous improvement. + Ensure compliance with all company policies, industry standards, and regulatory requirements… more
- Humana (Providence, RI)
- …part of our caring community and help us put health first** The Senior Financial Reporting Professional / Analyst prepares and distributes periodic financial ... other than those directly employed by the organization. The Senior Finance Reporting Professional / Analyst + Analyzes...to help people with Medicare, or both Medicare and Medicaid , achieve their best possible health and wellness through… more
- Humana (Providence, RI)
- …part of our caring community and help us put health first** The Senior Cloud Solutions Engineer Supports development and execution of cloud implementation strategy ... within organization's existing IT infrastructure. The Senior Cloud Solutions Engineer work assignments involve moderately complex to complex issues where the… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... working with clinical integration staff and leaders to ensure compliance and effectiveness of care plan * Ensuring team...use of such * Establishes Team member productivity and professional goals in conjunction with the Manager * Evaluates… more