- Humana (Nashville, TN)
- …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 (Nashville, TN)
- 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 (Nashville, TN)
- …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 (Nashville, TN)
- …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 (Nashville, TN)
- …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 (Nashville, TN)
- …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 (Nashville, TN)
- …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 (Nashville, TN)
- …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 (Nashville, TN)
- …providing frameworks to maximize available resources to achieve growth. The ** Senior Professional Business Intelligence Engineer** is an experienced individual ... a proven track record of leveraging data to meet compliance requirements and define and drive business value. The... requirements and define and drive business value. The Senior Professional will partner across various multi-disciplinary… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Senior Technology and Cybersecurity Risk Professional defines the standard for Humana's ... risk management approach, and identifies and reports on related risk. The Senior Technology and Cybersecurity Risk Professional work assignments involve… more
- Humana (Nashville, TN)
- …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 (Nashville, TN)
- …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 (Nashville, TN)
- …a part of our caring community and help us put health first** The Senior Enterprise Transformation Professional manages all aspects of a large-scale program, ... to finish, so that it is completed on time and within budget. The Senior Enterprise Transformation Professional will solutionize across teams to solve moderately… more
- Humana (Nashville, TN)
- …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 (Nashville, TN)
- …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 (Nashville, TN)
- …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
- CVS Health (Nashville, TN)
- …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 (Nashville, TN)
- …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
- Humana (Nashville, TN)
- …help us put health first** We are seeking a talented and motivated Senior Cognitive/Machine Learning Engineer to join our dynamic team. The traditional candidate ... machine learning and emerging generative AI technologies. As a Senior Cognitive/Machine Learning Engineer, you will play a key...related field) with a minimum of 5 years of professional experience; OR + Master's Degree in a similar… more
- Prime Therapeutics (Nashville, TN)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Previous Healthcare, Health Insurance, and/or Pharmacy ... Expertise in their areas of focus (Affordable Care Act, Medicare , Medicaid, Corporate Compliance , Compliance ...adjust focus **Reporting Structure** + Reports to Director or Senior Director in the Compliance department Every… more