- Humana (Washington, DC)
- …The focus of this role is Medicare Pharmacy and Part D. The Senior Compliance Professional will analyze business requirements, provide research and ... caring community and help us put health first** The Senior Compliance Professional ensures ...Compliance or Health Plan Operations + Familiarity with Medicare pharmacy laws or regulations **Additional Information** Interview Format… more
- Cognizant (Washington, DC)
- Cognizant is one of the world's leading professional services companies, we help our clients modernize technology, reinvent processes, and transform experiences, so ... providing recommendations for system and process improvements while ensuring compliance with regulatory guidelines and coordinating issue resolution. **Primary… more
- Humana (Washington, DC)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Compliance Professional to support audit preparation, internal controls ... and compliance efforts across the organization. The Senior Compliance Professional work assignments...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- CenterWell (Washington, DC)
- …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for … more
- Humana (Washington, DC)
- …between Humana and its trading partners, Medicare and Medicaid. The Senior Encounter Data Management Professional will work with department leadership, ... caring community and help us put health first** The Senior Encounter Data Management Professional develops business...Medicare . Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools… more
- Prime Therapeutics (Washington, DC)
- …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
- Prime Therapeutics (Washington, DC)
- …focus **Reporting Structure** + Reports to Sr Professional , Manager, Director or Senior Director in the Compliance department Potential pay for this position ... 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
- Prime Therapeutics (Washington, DC)
- …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 (Washington, DC)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve...Monitor performance against key performance indicators (KPIs) and ensure compliance with contractual commitments and requirements. Partner with health… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Senior Contract Management Professional evaluates, drafts, and negotiates contracts and other ... of goods and services for Humana, its subsidiaries and affiliates. The Senior Contract Management Professional work assignments involve moderately complex to… more
- Humana (Washington, DC)
- …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 (Washington, DC)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Program Delivery Professional to support quality program work in multiple ... Long-Term Services and Supports (LTSS) and Home and Community-Based Services (HCBS). The Senior Program Delivery Professional (LTSS - Quality) works on problems… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Senior Technology Leadership Professional is responsible for all aspects of software or ... role bridges the gap between technical expertise and business acumen. The Senior Technology Leadership Professional will need to understand business objectives… more
- Humana (Washington, DC)
- …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 (Washington, DC)
- …a part of our caring community and help us put health first** The Senior TRICARE Community Liaison (TCL) is a customer-facing Humana Military associate who is ... knowledgeable, professional , and courteous. This role interacts in person and...Medical Treatment Facility (MTF) and other Government staff, including senior military leaders, and civilian healthcare providers and facilities.… more
- Humana (Washington, DC)
- …consolidating the IT supply base, alongside run-the-business initiatives). The Senior Procurement Professional (Category Manager) generates and implements ... and manages the company's supply portfolio ensuring transparency of spending. The Senior Procurement Professional work assignments involve moderately complex to… more
- Genesis Healthcare (Kensington, MD)
- …Program, and expand your expertise with our Clinicians in Action professional development program. Responsibilities **Powerback** is a new way of delivering ... way of feeling better, moving better, breathing better, and living better. The Senior Therapist is responsible for assisting the Director of Rehab in the efficient… more
- Somatus (Mclean, VA)
- …coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting ... provides guidance and oversight to all lines of business including Commercial, Medicaid, Medicare , and Special Need Plans (SNPs). The Sr. Manager, Quality will work… more
- CVS Health (Washington, DC)
- …the Interoperability team with Aetna, a CVS Health company. As a Senior Program Manager for Interoperability, you will be responsible for product post-production ... Interoperability team, you will work collaboratively with Business, Clinical, Architecture, Compliance , IT, and Legal to deliver technologies and processes that… more
- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Senior Data Visualization Engineer builds user interfaces, visualizations, and data algorithms. Takes ... and ultimately enable them to make the better business decisions. The Senior Data Visualization Engineer work assignments involve moderately complex to complex… more