Senior Insurance Compliance Lead CMS & Regulatory Expert

$78.4k - $107.8k

Humana

Humana Inc in Trenton, NJ is seeking a Senior Insurance Product Compliance Professional to ensure compliance with federal and state regulations for marketing materials. This role involves overseeing compliance activities, mentoring associates, and engaging with regulators to maintain compliance excellence. The ideal candidate will have at least 5 years of experience in Medicare/Medicaid, strong communication skills, and proficient Microsoft Office knowledge. Competitive benefits and a pay range of $78,400 - $107,800 per year are offered. #J-18808-Ljbffr

Apply

Vacancy posted 12 hours ago

Similar jobs that could be interesting for youBased on the Senior Insurance Compliance Lead CMS & Regulatory Expert in Ewing, NJ vacancy

Senior Manager, Business Consulting - Healthcare
...will be responsible for leading project teams in the... ...plan and/or health insurance operational knowledge... ...a trusted advisor to senior stakeholders Oversee... ...efficiency, regulatory compliance, digital transformation... ...conceptual thinking ~ Expert in client interaction...
Cms
Senior
Regulatory
Remote work
EPAM Systems Inc
Newtown, PA
2 days ago
Remote Senior Program Manager Interoperability & API Lead
$94k - $160k
Prime Therapeutics is seeking a Senior Program Manager to lead core programs and ensure compliance with CMS interoperability mandates. This remote position involves developing operational plans, collaborating with various teams, and managing projects across business units...
Cms
Senior
Work experience placement
Remote work
Prime Therapeutics
Ewing, NJ
16 days ago
Senior Compliance Partner, Commercial & Medical Affairs
$145.5k - $205k
...United Therapeutics is seeking an Associate Corporate Compliance Director to lead compliance strategies across Commercial and Medical Affairs. This role requires a blend of strategic leadership and regulatory expertise, ensuring alignment with business needs and compliance...
Senior
Regulatory
Remote work
United Therapeutics
Ewing, NJ
4 days ago
Physician Compliance/Coding Auditor
$26.66 per hour
...upon position type and/or level. Job Summary The Physician Compliance Auditor II audits and evaluates compliance activities to... ...Federal, State, private payer, and other applicable legal and regulatory requirements for the compliance department. Ability to research...
Cms
Regulatory
Work experience placement
Immediate start
Remote work
Baylor Scott & White Health
Trenton, NJ
2 days ago
Senior Claims Analyst
...training period. ** General Summary: A Senior Claims Analyst will investigate,... ...evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential... ...Proactive communication with insureds, other departments and claims leadership...
Senior
Regulatory
Work at office
Night shift
Primma, LLC
Trenton, NJ
11 days ago
Senior Regulatory Affairs Consultant - Ad Promo
...Senior Regulatory Consultant – Advertising & Promotion (Strategic Lead) We are seeking a highly strategic and experienced Senior... ...Act as a trusted subject matter expert (SME) in FDA Advertising &... ...promotional materials, ensuring compliance with applicable FDA regulations...
Senior
Regulatory
Remote work
PAREXEL
Trenton, NJ
1 day ago
Senior Insurance Product Compliance Professional
$78.4k - $107.8k
...part of our caring community The Senior Insurance Product Compliance Professional researches and analyzes rules, regulations, and sub-regulatory guidance. These apply to Insurance Products... ...Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our...
Senior
Regulatory
Full time
Temporary work
Apprenticeship
Work at office
Remote work
Humana
Trenton, NJ
3 days ago
Certification Lead
$100k
...seeking a Certification Lead to manage end-to-end... ..., audits, and ongoing compliance. This role provides leadership... ...and supporting regulatory-driven program... .... ??? Comprehensive Insurance Coverage - Choose from... ...and oversee the project CMS certification lifecycle...
Cms
Regulatory
Remote work
MAXIMUS
Trenton, NJ
1 day ago
Senior Regulatory Affairs Consultant - Regulatory Intelligence (Talent Pool)
...opportunities within our Regulatory team. Candidates may... ...Intelligence Senior Consultant, you will serve... ...sustained regulatory compliance. In this consultative... ...with clients, internal experts, and global teams.... ...comments from client. Lead the client's internal...
Senior
Regulatory
Local area
Immediate start
Remote work
PAREXEL
Trenton, NJ
7 days ago
Senior Principal Actuary - REMOTE
$143k - $243k
...the future of pharmacy with us.Senior Principal Actuary - REMOTEJob... ...ResponsibilitiesCollaborate as a subject matter expert and change agent with... ...analyses, and the RFP process.Lead, manage and review ad hoc... ...with all applicable legal, regulatory, and contractual requirements...
Senior
Regulatory
Work experience placement
Local area
Remote work
Visa sponsorship
Work visa
Prime Therapeutics
Ewing, NJ
2 days ago
Medical Director - OneHome
$223.8k - $313.1k
...relies on fundamentals of CMS Medicare Guidance on... ...decisions comply with regulatory and organizational... ...framework of regulatory compliance. This secures compliance... ..., report to the Lead Medical Director, and... ...term disability, life insurance and many other opportunities...
Cms
Regulatory
Full time
Temporary work
Apprenticeship
Work at office
Remote work
Work from home
Monday to Friday
Humana
Ewing, NJ
1 day ago
Senior Director, Global Medical Safety, Global Pharmacovigilance
$249.97k - $388.13k
...Senior Director, Global Medical Safety physician, leads and supports safety team(s) in all aspects of... ...operational, ethical and regulatory considerations... ...as the medical safety expert for assigned products for... ...and long-term disability insurance, tuition reimbursement,...
Cms
Senior
Regulatory
Temporary work
Local area
Flexible hours
Otsuka America Pharmaceutical Inc.
Trenton, NJ
1 day ago
Functional Analyst, Senior
$100.4k - $126.56k
...Functional Analyst, Senior The Functional Analyst, Senior is... ...This role may be required to lead other team members and... ...functionalities, and ensures regulatory compliance. With guidance from FA leadership... ...Hands-on experience with insurance policy administration...
Senior
Regulatory
Full time
Shift work
NJM Insurance Group
Trenton, NJ
4 days ago
Senior Business Analysis Manager, Capital One Shopping (Remote-Eligible)
$200.7k - $229.1k
...Remote-Eligible)Summary: As a Senior Manager, Business Analysis at... ...company challenges. You will lead and team with world-class... ...face of shifting consumer and regulatory behaviorBusiness ownership: Have... ...to non-discrimination in compliance with applicable federal, state...
Senior
Regulatory
Full time
Temporary work
Part time
Local area
Remote work
Shift work
Capital One
Ewing, NJ
1 day ago
Business Systems Analyst III - Empower LOS
$87.03k - $138.97k
...processes. Serve as the business expert for the development, maintenance, training, regulatory compliance and support of all processes... ...distribution to line units, senior management, risk management units... ..., one of North America's leading diversified financial services...
Cms
Regulatory
Work experience placement
Remote work
City National Bank
Trenton, NJ
3 days ago
Senior Software Engineering
$79.2k - $209.5k
...our clients' to track compliance with the... ...Medicaid Services (CMS) and The Joint Commission... ...care, the successful regulatory submission of the generated... ...dental, and vision insurance, including expert medical opinion #... ...potential at a company leading the way in AI and...
Cms
Senior
Regulatory
Temporary work
Immediate start
Flexible hours
Oracle
Trenton, NJ
4 days ago
Senior Pharmacist, Pharmacy
$118.4k
...management policies, and maintains compliance with federal, state, and... ...Strategy & Development: May lead Highmark’s evidence-based medicine... ...individual outcomes. Regulatory Compliance & Oversight: Execute... ...comply with both the Health Insurance Portability Accountability...
Senior
Regulatory
For contractors
Work at office
Local area
Remote work
Highmark Health
Trenton, NJ
3 days ago
Senior Manager, Omnichannel Insights & Execution
$142.9k - $178.6k
...LinkedIn. The Senior Manager , Omnichannel... ...: Lead analysis of large,... ...while maintaining compliance with pharma regulations... ..., Adobe RT-CDP), CMS platforms, and digital... ...and disability insurances and leaves... ...with all applicable regulatory, legal and operational...
Cms
Senior
Regulatory
Work at office
Remote work
Worldwide
Flexible hours
Sumitomo Pharma
Trenton, NJ
5 days ago
Senior Payroll Tax Analyst
$72.7k
..., WV or NY) The Senior Payroll Tax Analyst... ...the subject matter expert for payroll tax compliance across all jurisdictions... ...Lead and perform peer review... ...multi-state taxation, regulatory changes) Ensure... ...with both the Health Insurance Portability Accountability...
Senior
Regulatory
For contractors
Work at office
Local area
Highmark Health
Trenton, NJ
5 days ago
Senior Product Manager, Field Optimization Programs, Chicago
$126k - $178k
...The primary objective of the Senior Product Manager, Field Optimization... ...This role will be focused on leading hospital optimization... ...based on clinical evidence, FDA regulatory approvals, and market trends.... ...digital platforms; ensure compliance, documentation, and budget oversight...
Senior
Regulatory
Work experience placement
Work at office
Night shift
Edwards Lifesciences
Trenton, NJ
2 days ago
Senior Manager Data Products - Therapeutic Area (TA)
$137k - $235.75k
...Senior Manager Data Products – Therapeutic Area (TA... ...evidence generation, and regulatory readiness. Key... ...real-world evidence. Lead or support agile product... ...Interface with IT, compliance, and regulatory partners... ..., and TA data domain experts. Support the implementation...
Senior
Regulatory
Local area
Immediate start
J&J Family of Companies
Washington Crossing, PA
3 days ago
Asset Operations Senior Professional (Travel Consultant)
$55 - $60 per hour
...seeking an Asset Operations Senior Professional to join a leading financial services... ...while ensuring accuracy, compliance, and efficiency. This... ...environments. · Familiarity with regulatory policies, operational... ...opportunities, health insurance, sick leave, and 401(k)....
Senior
Regulatory
Hourly pay
Daily paid
Contract work
Work at office
SolomonEdwards
Trenton, NJ
3 days ago
Business Development Financial Analyst, Senior
...Development Financial Analyst, Senior serves as a bridge between... ...to resolve reporting and compliance issues. BD Reporting: Execute... ...formulas/databases; Regulatory Knowledge: Deep understanding... ...Health, dental, and vision insurance Paid time off and holidays...
Senior
Regulatory
Hourly pay
Contract work
Local area
Remote work
Amentum
Trenton, NJ
2 days ago
Senior Clinical Operations Lead
$87.3k - $119.07k
...seeking a team leader for a clinical care role in Hopewell, NJ. This position involves managing daily operations, ensuring regulatory compliance, and leading a clinical care team to enhance member services. Ideal candidates will possess a nursing degree or relevant health...
Senior
Regulatory
Horizon Blue Cross Blue Shield of New Jersey
Hopewell, NJ
11 hours ago
Program Manager Sr - Remote
$94k - $160k
...with us.Job DescriptionThe Senior Program Manager is accountable for leading and executing core programs... ...Medicare & Medicaid Services (CMS) and ensuring organizational compliance with CMS interoperability... ...with all applicable legal, regulatory, and contractual...
Cms
Senior
Regulatory
Work experience placement
Work at office
Local area
Remote work
Visa sponsorship
Work visa
Prime Therapeutics
Ewing, NJ
5 days ago
Part-Time Registered Dietitian Senior Nutrition Care
...20-hour per week role involves developing individualized nutrition care plans, monitoring interventions, and supporting compliance with regulatory standards. The ideal candidate will hold a Bachelor's degree in Nutrition and Dietetics, possess an active RD/RDN credential...
Senior
Regulatory
Part time
Rbrehab
Richboro, PA
11 hours ago
Senior Manager of Data Center Compliance Integration
$118.5k - $251.6k
...specifically looking for a ** Senior Manager of Data Center Compliance Integration** . You... ...and primary engagement lead for all new data center... ..., sites, regions, regulatory frameworks, and material... ...Medical, dental, and vision insurance, including expert medical opinion #...
Senior
Regulatory
Contract work
Temporary work
Flexible hours
Oracle
Trenton, NJ
5 days ago
Senior Manager, Enterprise Apps, Workday Architect
$145.3k - $181.6k
...business processes. The Senior Manager, Enterprise... ...standards, IT compliance requirements, and business... ...and proven success in leading system enhancements, integrations... ..., life and disability insurances and leaves provided in... ...with all applicable regulatory, legal and operational...
Senior
Regulatory
Worldwide
Flexible hours
Sumitomo Pharma
Trenton, NJ
1 day ago
Senior Revenue Recognition Business Partner
$79.1k - $158.2k
...and analysis of evolving regulatory developments. It also provides... ...is recognized in full compliance with U.S. GAAP (primarily... ...Medical, dental, and vision insurance, including expert medical opinion Short... ...your potential at a company leading the way in AI and cloud...
Senior
Regulatory
Contract work
Temporary work
Work at office
Remote work
Flexible hours
Oracle
Trenton, NJ
3 days ago
Senior Risk Manager
...health and dental insurance, life insurance, short... ...: The Senior Risk Manager... ...for credit, market, compliance, and operational risk... ...and actively lead the discussion in... ...the subject matter expert to advise departmental... ...Bank and with regulatory agencies, including...
Senior
Regulatory
Temporary work
FirstBank
Hamilton, NJ
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Insurance Compliance Lead CMS & Regulatory Expert. Be the first to apply!