Senior Insurance Compliance Lead CMS & Regulatory Expert
Humana
Humana Inc in Boise, Idaho is seeking a Senior Insurance Product Compliance Professional to ensure compliance of marketing communication materials. You will oversee compliance activities, mentor staff, and act as a liaison with regulators. Applicants should have at least 5 years of experience in relevant fields and knowledge of Medicare and Medicaid regulations. The position offers a comprehensive benefits package, remote work flexibility, and competitive pay. #J-18808-Ljbffr
- ...Business Applications Analyst Senior plays a strategic role in... .... This individual leads complex projects, mentors junior... ...align with business goals and regulatory requirements. The role requires... .... Ensure system compliance with HIPAA, CMS regulations, and internal policies...CmsSeniorRegulatory
$86.3k - $118.7k
...caring community The Senior Compliance Professional ensures... ...coordination with Regulatory Compliance for government... ...State Department of Insurance inquiries. Use... ...Department of Insurance and CMS ~ Reporting... ...Inc. (NYSE: HUM) is a leading U.S. healthcare company...CmsSeniorRegulatoryFull timeTemporary workApprenticeshipRemote work- ...to ensure healthcare services align with CMS guidelines. The role requires reviewing... ...Medicare and Medicaid members, ensuring compliance, and participating in call rotations. Candidates... ...This position is remote with a focus on regulatory compliance and collaborative team...CmsRegulatoryRemote work
$94k - $160k
Prime Therapeutics is seeking a Senior Program Manager to lead interoperability programs and ensure compliance with CMS mandates. This remote role requires a Bachelor's degree and 5 years of healthcare experience, along with project management skills. The position involves...CmsSeniorRemote work$52.03k - $97.53k
R1 RCM is seeking a Senior Payroll Administrator to support efficient payroll processing and compliance for a large employee population in Boise, Idaho. The ideal candidate should have a minimum of 7 years of payroll experience, strong Workday knowledge, and excellent analytical...Senior$27 per hour
...healthcare organization specializing in regulatory compliance and dispute resolution, is seeking a... ...negotiation requests and initiate cases within CMS timelines Organize provider and... ...~ Dental Plan ~ Supplemental Life Insurance ~ Short Term Disability Insurance ~...CmsRegulatoryHourly payTemporary workLocal area- Blue Cross of Idaho is seeking a Compliance Specialist II to oversee compliance in specialty... ...pharmacy services. The role involves regulatory analysis, auditing, and compliance... ...extensive benefits, including medical insurance and 401(k) matching. #J-18808-Ljbffr Blue...SeniorRegulatory
$80k - $120k
...Quality Control (QC) Manager in Boise, Idaho, to ensure compliance with project specifications and regulatory requirements for civil infrastructure projects. The... ...80,000 and $120,000, along with benefits like health insurance and paid time off. #J-18808-Ljbffr LVI AssociatesSeniorRegulatory$143.62k - $229.79k
...Responsibilities include leading pricing strategies and... ...pricing sophisticated insurance products. You will... ...ensuring timeliness, compliance, and quality of work... ...explanation of results to senior leadership - Highly Preferred... ...Leadership, Regulatory Compliance ___________...CmsRegulatoryLocal area- Cardinal Health is seeking a Senior Specialist in Quality Assurance located in Boise, Idaho. This role involves executing quality programs, ensuring compliance with regulatory standards, and mentoring junior Specialists As the Senior Specialist, you will tackle quality...SeniorRegulatoryFlexible hours
- Blue Cross of Idaho is looking for a Compliance Specialist II to enhance our compliance program... ...on specialty pharmacy and patient care regulatory oversight. This position demands... ...package includes paid time off, health insurance, and a 401(k) matching plan. #J-18808-...SeniorRegulatory
$90k - $115k
Tetra Tech is seeking a Senior Biologist or Botanist in Boise, Idaho to support environmental projects focusing on biological resources and regulatory compliance. The role requires leading assessments and collaborating with diverse teams on project planning. Candidates...SeniorRegulatory$78.06k - $117.1k
...Compliance Specialist II The Compliance Specialist... ...and patient care regulatory oversight. This... ...a subject matter expert for specialty... ...but not limited to: CMS, FDA, State Boards... ...experience, skills, seniority, performance, travel... .../vision/pharmacy insurance, 401(k) matching...CmsRegulatoryTemporary workWork experience placementLocal area$81.07k - $129.71k
...premiums and reserves of new and existing plans of insurance. Provide support to senior analysts or actuaries as required. Retrieve and... ...internal stakeholders and transmit rate filings to regulatory agencies (NCDOI, CMS). Retrieve and validate data for monthly reports...CmsRegulatory- ...our becoming the leading dental benefits... ...legislative, regulatory, and industry stakeholders... ...the CEO and senior leadership,... ...in the dental insurance industry;... ...governmental affairs experts, including... ...of ethics, and compliance/security standards... ...Services (CMS) desired. Competency...CmsRegulatoryContract workCasual workWork at officeFlexible hours
$72.44k - $126.78k
...talents and strengths. The Senior Clinical Pharmacy Strategist... ...goals for cost containment, regulatory compliance, and member outcomes. Additional... ...medication use, and support CMS STAR ratings and PQA pharmacy... ...and provider engagement. Lead the creation and execution of...CmsSeniorRegulatoryWork experience placementWork 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- ...OverviewWorkWith Heart, Lead with ImpactAt Parexel,... ...guide clients through compliance challenges; they... ...technologies, cultures, and regulatory expectations.Join a... ....Position OverviewThe Senior / Principal Regulatory... ...-level subject matter expert in QC Microbiology and...SeniorRegulatoryRemote workWorldwide
$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$81.07k - $129.71k
...meeting contractual obligations, and ensuring compliance with state and federal regulations.... ...reviewing and vetting investigative leads and determining appropriate next steps... ...Investigative Analysis, Job Interviews, Regulatory Analysis, Risk Assessments, Testifying in...SeniorRegulatoryLocal areaRemote work$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- ...opportunity to shape global regulatory strategy and deliver breakthrough... ...with Global Regulatory Leads to drive globally aligned regulatory... ...cross-functional teams and senior leadership to drive clarity,... ...) and Microsoft Office Suite.Expert in creating visuals using PPT...SeniorRegulatoryWork at officeWork from homeWorldwide
$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$161.67k - $190.2k
Senior Counsel - Americas Job Description Summary The... ..., operational, regulatory, and talent‑related matters... ...structures. The Senior Counsel leads high‑value advisory... ...with Litigation, HR, Compliance, and the Contracting... ..., vision, and dental insurance, flexible spending...SeniorRegulatoryMinimum wageFor contractorsFlexible hours$85k - $120k
...Services Subject Matter Expert The Professional... ...spanning analysts, team leads and program managers.... ...offering of Accounting, Compliance, Risk, and Performance... ...one specific market/regulatory regime ( e.g. NAIC, Local... ...health/vision/dental insurance, 401(k), PTO, parental...SeniorRegulatoryLocal area$159.2k - $247.86k
...you’ll have the opportunity to lead, innovate, and contribute to... ...are seeking an experienced Senior Counsel, Corporate & Securities... ...functions to ensure compliance with corporate and securities... ..., and Regulation FD. Monitor regulatory and governance developments and...SeniorRegulatoryWeekly payLocal area- Join to apply for the Senior In-House Litigation Attorney role at... ...of potential risk, including regulatory, competition, healthcare law... ...industry collaborators, ensuring compliance with the existing and... ..., conducting oral arguments, leading settlement negotiations, and...SeniorRegulatoryFull timeRelocationRelocation package
- ...Partnerships - Healthcare and Senior Living Director of... ...verticals. This role leads complex, cross-... ...monitoring industry trends, regulatory considerations, and... ...accountability, compliance awareness, and timely... ...Company-Paid Basic Life Insurance ~ Company-Paid Accidental...SeniorRegulatoryContract workTemporary workRemote work
$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...CmsSeniorRegulatoryWork at officeRemote workWorldwideFlexible 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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