- Humana (Richmond, VA)
- …Initial and Appeals/Disputes level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. **Required Qualifications** + MD or DO degree...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- CenterWell (Richmond, VA)
- …of Standards of Operations for all tasks within the LMS. + Support compliance tracking and reporting for mandatory training. + Ability to identify KPIs and ... designers as well as all levels of leadership including compliance and regulatory. **Use your skills to make an...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- Humana (Richmond, VA)
- …health first** The Pharmacy Contracting Professional 2 ensures contract compliance and performs analysis regarding pharmacy claims. Understands department, segment, ... established guidelines/procedures. The Pharmacy Contracting Professional 2 ensures contract compliance and performs analysis regarding pharmacy claims. Understands department,… more
- Humana (Richmond, VA)
- …stakeholders and external customers to inform product decisions. + **Governance & Compliance ** + Ensure data governance, privacy, and compliance standards are ... base pay for full time (40 hours per week) employment at the time of posting. The pay range...individuals, military service personnel, and communities at large. ** Equal Opportunity Employer** It is the policy of Humana… more
- Humana (Richmond, VA)
- …to identify trends and opportunities for improved member health and measure compliance + Internal and external partnerships to coordinate, guide, direct and oversee ... prioritization + Identify opportunities across HEDIS processes to ensure compliance and audit requirements are satisfied, while also simultaneously...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- Humana (Richmond, VA)
- …provides support for handling and analyzing data that pertains to the compliance and commissions of Humana external producers. The Senior Agency Management ... for handling and analyzing data that pertains to the compliance and commissions of Humana external producers. The Senior...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- CenterWell (Richmond, VA)
- …service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include national clinical ... authorship. Exercises independence in meeting departmental expectations and meets compliance timelines. **Required Qualifications** + MD or DO degree....base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- Humana (Richmond, VA)
- …pillars, including continuous integration (CI), continuous delivery (CD), quality, security, compliance , metrics, and reporting. + Ensure compliance with ... base pay for full time (40 hours per week) employment at the time of posting. The pay range...individuals, military service personnel, and communities at large. ** Equal Opportunity Employer** It is the policy of Humana… more
- Humana (Richmond, VA)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... authorship. Exercises independence in meeting departmental expectations and meets compliance timelines. **Required Qualifications** + MD or DO degree...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- CenterWell (Roanoke, VA)
- …ensure the following: operational efficiencies, quality of patient care, regulatory compliance , support of business development & patient base growth, achievement of ... meeting local ordinances and fire and safety regulations in compliance with the company policies. + Conducts continuous quality...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more