- Humana (Charleston, WV)
- …looking for an internship that supports the goal to put health first? The Quality Compliance Professional intern will utilize Humana's training and ... is not guaranteed upon completion of the Internship or Fellowship. The Quality Compliance Professional 2 Intern will utilize Humana's Kentucky Medicaid… more
- Humana (Charleston, WV)
- …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 (Charleston, WV)
- …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
- CBRE (Charleston, WV)
- …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
- United Therapeutics (Charleston, WV)
- …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
- Western Digital (Charleston, WV)
- …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. (Charleston, WV)
- …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
- LifePoint Health (Beckley, WV)
- …. Educational assistance and tuition assistance for qualified applicants . Professional development opportunities and CE assistance . And much more Position ... evaluates the activities, functions, and management of personnel within the Quality /Performance Improvement, Risk Management, and Medical Staff Office departments as… more
- Humana (Charleston, WV)
- …- Ability to navigate complex situations and independently produce high quality deliverables. + Consultative - Build/sustain relationships and inform the work ... frameworks to maximize available resources to achieve growth. The **Senior Professional Business Intelligence Engineer** is an experienced individual with broad… more
- Three Saints Bay (Martinsburg, WV)
- …which details inspection schedules, methods, and corrective actions to achieve 99% compliance in professional and courteous responses and 80% content accuracy. ... **Call Center Quality Manager (4764)** Location **Martinsburg, WV** Job Code...ensure adherence to Mission Management System (MMS) guidelines, HIPAA compliance for medical queries, and Section 508 accessibility standards,… more
- Humana (Charleston, WV)
- …caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of medical records and ICD-9/10 ... medical records. May participate in provider education programs on coding compliance . Understands own work area professional concepts/standards, regulations,… more
- Humana (Charleston, WV)
- …caring community and help us put health first** The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The ... Senior Risk Management Professional work assignments involve moderately complex to complex issues..., you are responsible for managing a portfolio of compliance metrics associated with Medicare and/or Medicaid, ensuring adherence… more
- CenterWell (Charleston, WV)
- …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
- GE Aerospace (Charleston, WV)
- …+ Knowledge of manufacturing and production process + Knowledge of government compliance and quality control regulatory standards **Desired Characteristics** + ... world! This roll will drive management of change and deployment of Product Quality Planning for parts/suppliers within the Organization; as well as with GE Aerospace… more
- GE Aerospace (Charleston, WV)
- **Job Description Summary** Drive product quality for suppliers within the Machining/Fabrication including quality plan implementation. Own supplier First ... Article Inspection results and drive supplier compliance to Source Substantiation Plans or design intent verification....cycles are not complete while also being the internal quality focal for those parts. Collaborate with Supplier … more
- Humana (Charleston, WV)
- …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
- GE Aerospace (Charleston, WV)
- **Job Description Summary** The Tubes & Ducts Zero Defects / Advanced Quality Leader will drive use of the zero defect tools to improve manufacturing quality of ... current production parts as well as Advanced Product Quality Planning (APQP) for NPI/Transition parts with the objective...and use of RM13100 materials, as well as regulatory compliance (FAA, etc ) + Ability to operate autonomously… more
- Rocket Software (Charleston, WV)
- …large, high-risk, and often multi-region initiatives-managing timelines, deliverables, and quality standards to meet aggressive yet achievable deadlines. + Define ... improve standardized policies, procedures, and best practices that support consistent, high- quality project delivery. + Track key performance indicators (KPIs) and… more
- Humana (Williamson, WV)
- …Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health knowledge and skills to support the ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are varied and frequently require… more
- Humana (Charleston, WV)
- …health first** Humana Healthy Horizons is seeking a Senior Learning Design Professional who will use instructional design, cognitive psychology and adult learning ... a knowledge or performance gap. The Senior Learning Design Professional work assignments involve moderately complex to complex issues...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more