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
$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...CmsSeniorRegulatory- ...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...SeniorRegulatory
$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...SeniorRegulatory- ...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...SeniorRegulatoryFor contractorsRemote work
$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...SeniorRegulatory- ...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...SeniorRegulatory
- ...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...SeniorRegulatory
- ...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...SeniorRegulatoryWork at office3 days per week
$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...CmsRegulatoryWork experience placementWork at office3 days per week$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...CmsRegulatoryWork experience placementImmediate startRemote work$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...SeniorRegulatory- ...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...SeniorRegulatoryRemote work
$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...CmsRegulatoryWork experience placementWork at office3 days per week$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...CmsRegulatoryWork experience placementWork at office3 days per week$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...SeniorRegulatoryFull timeTemporary workApprenticeshipWork at officeRemote work$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...SeniorRegulatoryWork at office$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...CmsSeniorRegulatoryFull timeTemporary workApprenticeshipWork experience placementRemote workShift work$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,...SeniorRegulatoryWork at office$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...SeniorRegulatoryWork experience placementLocal areaRemote workVisa sponsorshipWork visa$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...SeniorRegulatoryPermanent employmentFull timeApprenticeship$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...CmsRegulatoryFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeMonday to Friday$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...CmsRegulatoryFor contractorsWork at officeImmediate startRemote work2 days per week$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...CmsRegulatoryWork experience placementWork at office3 days per week- ...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...SeniorRegulatory
$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...SeniorRegulatoryFull timeWork at officeLocal areaRelocation package$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...CmsRegulatoryWork experience placementRemote work$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...SeniorRegulatoryContract workWork at office$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,...SeniorRegulatoryFull timeTemporary workPart timeLocal areaRemote workShift work$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...CmsSeniorRegulatoryTemporary workImmediate startFlexible hours$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...SeniorRegulatoryFor contractorsWork at officeLocal areaRemote work
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