Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Insurance Compliance Lead CMS & Regulatory Expert

Humana

Humana Inc is seeking a Senior Insurance Product Compliance Professional to ensure compliance with federal and state regulations for marketing and communication materials. Responsibilities include reviewing marketing materials, implementing processes, and liaising with stakeholders. The ideal candidate will have over 5 years of experience in insurance, a Bachelor's degree, and strong project leadership skills. This role is remote, with occasional travel required for training or meetings. #J-18808-Ljbffr

Vacancy posted 11 hours ago
Similar jobs that could be interesting for youBased on the Senior Insurance Compliance Lead CMS & Regulatory Expert in Madison, WI vacancy
  • $98.9k - $134.4k

     ...Senior Actuarial Analyst We are seeking a Senior...  ...understanding the details of CMS Medicare risk score...  ...of the team, you will lead analytical work efforts...  ...with Risk Adjustment, Compliance, and Analytics teams to...  ...accrual analyses, and regulatory reporting requirements... 
    Cms
    Senior
    Regulatory

    Quartz

    Madison, WI
    3 days ago
  •  ...A leading robotics company based in Madison, Wisconsin, is seeking a Quality Management professional to develop and maintain quality...  ...culture through various initiatives. Strong experience with regulatory compliance and quality systems is essential. Join a diverse team where... 
    Senior
    Regulatory

    Robotics Technologies LLC

    Madison, WI
    10 hours ago
  • $140k - $170k

     ...Pharmaceuticals, Inc, located in Verona, WI, is seeking a Senior Manager Regulatory CMC to ensure efficient management of...  ...of global HA requirements. The candidate will lead activities that drive standardization and compliance, working in a dynamic, collaborative... 
    Senior
    Regulatory

    Arrowhead Pharmaceuticals, Inc.

    Verona, WI
    1 day ago
  •  ...Dudek is seeking an Environmental Compliance Specialist III in Madison, Wisconsin. This hybrid role includes both field inspections and...  ...inspections, communicate with contractors, and provide clients with regulatory guidance across various environmental programs. Strong skills... 
    Senior
    Regulatory
    For contractors
    Remote work

    Dudek

    Madison, WI
    11 hours ago
  • $155k - $175k

     ...Arrowhead Pharmaceuticals, Inc. in Verona, WI is seeking a Quality Engineering Leader to manage compliance and drive operational excellence. This role involves ensuring regulatory adherence, mentoring staff, and developing quality systems in a dynamic setting. Candidates... 
    Senior
    Regulatory

    Arrowhead Pharmaceuticals, Inc.

    Verona, WI
    10 hours ago
  •  ...Fortrea is seeking a Sr. Clinical Operations Manager in Madison, WI, to lead the Study Operations department while ensuring regulatory compliance and managing clinical staff. The role involves mentorship, budget management, and fostering innovation. Ideal candidates possess... 
    Senior
    Regulatory

    Fortrea

    Madison, WI
    11 hours ago
  •  ...Sciences Corporation in Madison, WI is hiring an EHSS Manager to develop and lead environmental health and safety initiatives. With strong compliance, safety performance improvement, and regulatory adherence, this role emphasizes teamwork and leadership. The ideal... 
    Senior
    Regulatory

    Exact Sciences

    Madison, WI
    11 hours ago
  •  ...Medica is seeking a Clinical Regulatory Oversight Program Manager to support operational implementation and compliance with federal and state regulations. You will manage oversight for Utilization Management, Appeals, and Grievances, ensuring adherence to accreditation... 
    Senior
    Regulatory
    Work at office
    3 days per week

    Medica

    Madison, WI
    2 days ago
  • $100.3k - $172k

     ...The Clinical Regulatory Oversight Program Manager is responsible for supporting the operational...  ...as a clinical regulatory subject matter expert, ensuring policies, procedures,...  ...audits, NCQA deliverables, and continuous compliance improvement efforts. Performs other duties... 
    Cms
    Regulatory
    Work experience placement
    Work at office
    3 days per week

    Medica

    Madison, WI
    1 day ago
  • $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

    Madison, WI
    2 days ago
  • $140k - $170k

     ...small molecules and biologics. Arrowhead is leading the field in bringing the promise of...  ...need. The Position The Sr Manager Regulatory CMC ensures efficient and compliant management...  ...bundling of changes), ensuring compliance with global requirements. Apply science... 
    Senior
    Regulatory

    Arrowhead Pharmaceuticals

    Madison, WI
    4 days ago
  •  ...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

    Madison, WI
    1 day ago
  • $88.8k - $152.3k

     ...product performance, quality, regulatory adherence, and Centers for Medicare & Medicaid Services (CMS) audit readiness. Our Program...  ...monitors performance and compliance with CMS regulatory requirements...  ...Models of Care (MOCs). Leads projects for implementation of... 
    Cms
    Regulatory
    Work experience placement
    Work at office
    3 days per week

    Medica

    Madison, WI
    3 days ago
  • $88.8k - $152.3k

     .... Administers an assigned Compliance Program by providing subject...  ...Materials Compliance & Review Lead compliance review of...  ...materials adhere to applicable regulatory requirements, internal policies...  ...Strong knowledge of Medicare, CMS, and other healthcare... 
    Cms
    Regulatory
    Work experience placement
    Work at office
    3 days per week

    Medica

    Madison, WI
    5 days ago
  • $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

    Madison, WI
    3 days ago
  • $146k - $200k

     ...paid time off. Job Summary Senior Manager Cyber Risk & Governance leads Alliant Energy’s cybersecurity governance...  ...risk management strategies and regulatory requirements. It is accountable...  ...governance frameworks, ensuring compliance with regulatory frameworks and... 
    Senior
    Regulatory
    Work at office

    Alliant Energy

    Madison, WI
    2 days ago
  • $104k - $143k

     ...caring community The Senior Product Manager...  ...clinical operations, regulatory requirements, and...  ...stakeholders, compliance partners, technical...  ...requirements (e.g., CMS mandates, HIPAA,...  ...provider experience Lead discovery and...  ...disability, life insurance and many other opportunities... 
    Cms
    Senior
    Regulatory
    Full time
    Temporary work
    Apprenticeship
    Work experience placement
    Remote work
    Shift work

    Humana

    Madison, WI
    11 hours ago
  • $85.6k - $149.4k

    ## Senior Product Owner – DC ComplianceApplyremote type: Hybrid (...  ...056746**Role Summary**The DC Compliance Product Owner is responsible...  ...to ensure the product meets regulatory requirements, customer needs,...  ...Owner owns the product backlog, leads project planning activities,... 
    Senior
    Regulatory
    Work at office

    Wolters Kluwer N.V.

    Madison, WI
    11 hours ago
  • $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

    Madison, WI
    2 days ago
  • $80k - $95k

     ...Everlight Solar is seeking a Senior HVAC Technician in a senior-...  ...quality, safety, and regulatory compliance. Requires EPA 608 Certification...  ...experience. Often serves as a lead on job sites, supervising crews...  ...complete the work. Health Insurance Vision Insurance Life Insurance... 
    Senior
    Regulatory
    Permanent employment
    Full time
    Apprenticeship

    Everlight Solar

    Verona, WI
    10 hours ago
  • $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

    Madison, WI
    1 day ago
  • $70k - $85k

     ...evidence‑based, and compliant with federal regulations, interpreting CMS mandates, synthesizing clinical evidence, and contributing to...  ...research, or related field, including familiarity with regulatory standards (CMS, Medicare, URAC). Knowledge of medical coding (ICD... 
    Cms
    Regulatory
    For contractors
    Work at office
    Immediate start
    Remote work
    2 days per week

    Wis Phys Svc Ins Corp

    Madison, WI
    10 hours ago
  • $90.5k - $155.2k

     ...Adjustment Healthcare Analyst (P3) is a senior-level individual contributor...  ...financial performance, coding accuracy, and regulatory compliance. Operating with minimal supervision, the...  ...analytics expertise, solid understanding of CMS risk adjustment methodologies, and the... 
    Cms
    Regulatory
    Work experience placement
    Work at office
    3 days per week

    Medica

    Madison, WI
    3 days ago
  •  ...Senior Healthcare Planner Lead BWBR is seeking a senior healthcare planner lead to help shape the future...  ...one of BWBR's senior subject matter experts in healthcare planning, programming,...  ...operations, space standards, and regulatory requirements • Proven ability to... 
    Senior
    Regulatory

    BWBR

    Madison, WI
    3 days ago
  • $150k - $255k

     ...Lead a team that provides analysis for the full range of actuarial...  ...activities related to either insurance pricing or ratemaking for...  ...and regions. -Responsible for compliance with rate standards used for...  ...industry, its market, competitors, regulatory constraints, judicial climate... 
    Senior
    Regulatory
    Full time
    Work at office
    Local area
    Relocation package

    American Family Insurance

    Madison, WI
    11 days ago
  • $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

    Madison, WI
    3 days ago
  • $140k - $160k

     ...otherwise addressable by small molecules and biologics. Arrowhead is leading the field in bringing the promise of RNAi to address diseases...  ...members from other Technical, Legal, Finance, Quality, and Regulatory functions. Responsibilities Lead site Sourcing team to... 
    Senior
    Regulatory
    Contract work
    Work at office

    Arrowhead Pharmaceuticals

    Madison, WI
    29 days ago
  • $200.7k - $229.1k

     ...Overview Senior Business Analysis Manager, Capital One Shopping...  ...company challenges. You will lead and team with world-class...  ...face of shifting consumer and regulatory behavior Business ownership...  ...committed to non-discrimination in compliance with applicable federal,... 
    Senior
    Regulatory
    Full time
    Temporary work
    Part time
    Local area
    Remote work
    Shift work

    Capital One

    Madison, WI
    5 days ago
  • $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

    Madison, WI
    4 days ago
  • $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

    Madison, WI
    3 days 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!