- Elevance Health (Waukesha, WI)
- **Title** : QM Member Liaison Senior **Location:** WI-Waukesha, N17W24222 Riverwood Dr., Ste 300 Please note that per our policy on hybrid/virtual work, candidates ... promoting a dynamic and adaptable workplace. The **QM Member Liaison Senior ** is responsible for developing, coordinating, and implementing member advocacy… more
- Banner Health (WA)
- …Health recently earned Great Place To Work(R) Certification (TM) . This recognition reflects our investment in workplace excellence and the happiness, satisfaction, ... assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state… more
- Humana (Springfield, IL)
- …and help us put health first** Are you a detail-driven, logic-oriented professional who thrives on translating complex marketing strategies into actionable data ... solutions? We're looking for a Senior Associate, Data Manager to join our team and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- CVS Health (Phoenix, AZ)
- …And we do it all with heart, each and every day. **The Senior Manager, Quality of Care** is responsible for leading and coordinating comprehensive quality ... Oversight:** Monitor and evaluate the use of seclusion and restraints, ensuring compliance with clinical guidelines and safety protocols. Prepare and present monthly… more
- Humana (Boise, ID)
- …in both traditional machine learning and emerging generative AI technologies. As a Senior Engineer, you will play a key role in developing and deploying innovative ... related field) with a minimum of 5 years of professional experience; OR + Master's Degree in a similar...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Juneau, AK)
- …and help us put health first** We are looking for a highly capable Senior Data Scientist to support advanced AI initiatives focused on generative AI, embeddings, and ... + Databricks certifications (eg, Data Engineer Associate, Machine Learning Professional , Generative AI Engineer Associate). + Familiarity with ServiceNow data… more
- The Cigna Group (Bloomfield, CT)
- **Overview** The Senior Advisor Regulated Markets Audit Management role is responsible for coordinating the planning, execution and follow up for client and ... and retains network of enterprise resources and collaborates with Client Audit, Compliance , Legal and other stakeholders to respond to State, Center for Medicare… more
- Centene Corporation (Jefferson City, MO)
- …as necessary, findings and conclusions for Human Resources, Internal Audit, Legal, the senior management team and the Board Compliance Committee; and, after ... as necessary, findings and conclusions for Human Resources, Internal Audit, Legal, the senior management team and the Compliance Committee of Centene's Board of… more
- Therapeutic Alliance, LLC (Virginia Beach, VA)
- …provide mentorship and training to BT and RBT staff, fostering their professional growth and contributing to a collaborative and supportive team environment. What ... onboarding/training, technology reimbursement, mileage reimbursement, paid travel time, paid professional development, referral program, and more. + Clinical supervision:… more
- CVS Health (Raleigh, NC)
- …Database audits + Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to ... of assigned work to track progress and manage towards business objectives and compliance due dates. + Must exhibit leadership qualities, strong written and oral… more