Senior Insurance Compliance Lead — CMS & Regulatory Expert
Humana Inc
Humana Inc is seeking a Senior Insurance Product Compliance Professional to oversee compliance activities for insurance products, ensuring Member Marketing materials follow federal and state regulations. The role includes mentoring compliance associates and implementing process improvements alongside internal teams and regulators. The ideal candidate will have at least 5 years experience related to Medicare, demonstrated leadership skills, and strong expertise in compliance management. A Bachelor's Degree is preferred. #J-18808-Ljbffr Humana Inc
- Senior Manager of Commercial Pricing and Contract Strategy... ...revenue, ensuring compliance, and maintaining competitive... .... This role also leads government pricing compliance... ...controls to meet regulatory and organizational objectives... ...as those outlined by CMS and the Medicaid Drug...CmsSeniorRegulatoryContract work
$73k - $105.9k
A leading environmental consulting firm is seeking an experienced professional for ecological and wetland sciences. Responsibilities... ...wetland delineation, ecological assessments, and ensuring regulatory compliance across various projects. Candidates should have at least 3-5...SeniorRegulatory$183k - $228.8k
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Centene Corporation is seeking a Compliance Program Administrator to design and implement programs ensuring compliance with regulations... ...Bachelor's degree and over 4 years of experience in compliance or regulatory roles within healthcare. Responsibilities include managing...SeniorRegulatoryRemote job- A leading insurance company in Michigan is seeking an experienced Attorney to join its Corporate Legal & Compliance Department. The role focuses on providing legal counsel across a range of matters, including property and casualty insurance, privacy, and emerging technologies...SeniorRegulatoryRemote work
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...premiums and reserves of new and existing plans of insurance. Provides support to senior analysts or actuaries as required. Retrieves and... ...internal stakeholders and transmits rate filings to regulatory agencies (NCDOI, CMS). Retrieves and validates data for monthly reports...CmsRegulatory- Applied Materials is seeking a Senior PMO to manage Product Regulatory Compliance. The role demands 15+ years of experience, with expertise in regulatory compliance for semiconductor products. This position involves developing compliance strategies, maintaining documentation...SeniorRegulatoryFull time
$105k - $145k
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- ...Clinical Operations Specialist in Lansing, Michigan. This role requires overseeing clinical operations across senior living communities, ensuring regulatory compliance, and supporting the clinical leadership teams through audits and training. Candidates should have prior...SeniorRegulatory
- A leading manufacturer in Lansing is seeking a Lead EH&S Specialist to implement and oversee environmental health and safety policies... ...This role involves coordinating training programs, ensuring regulatory compliance, and managing risk assessments. Candidates should have at...SeniorRegulatoryFull time
- ...University Of Michigan seeks an Administrative Manager Senior Healthcare to lead the Radiology CT Department. This role manages... ...budgeting, and strategic direction while ensuring compliance with quality and regulatory standards. The successful candidate should possess...SeniorRegulatory
$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- ...Health Commercial LLC is seeking a skilled Medical Writer to lead medical writing deliverables. You will ensure that... ...and manage writing activities across studies with a focus on compliance with regulatory standards. The ideal candidate should have 3-5 years of relevant...SeniorRegulatoryFlexible hours
- ...Overview Work With Heart , Lead with Impact At Parexel... ...guide clients through compliance challenges; they... ...technologies, cultures, and regulatory expectations. Join a... ...Position Overview The Senior / Principal Regulatory... ...-level subject matter expert in QC Microbiology and...SeniorRegulatoryRemote workWorldwide
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- OBJECTIVE Senior Life Actuary Objective To provide life actuarial programs, spreadsheets... ...reporting, product development, and regulatory and analytical tasks. To incorporate new... ...changes in products offered by other life insurance companies. Oversee and develop recommendations...SeniorRegulatoryWork at office
$26.66 per hour
...upon position type and or level. Job Summary The Physician Compliance Auditor II audits and evaluates compliance activities to ensure... ...Federal, State, private payer, and other applicable legal and regulatory requirements for the compliance department. Ability to research...CmsRegulatoryWork experience placementImmediate startRemote work$144.96k
Position: Senior Director of Field Service Operations (multiple positions... ..., ensuring efficiency and compliance, including optimizing... ...optimize performance. Ensures regulatory compliance and quality assurance... ...and service delivery. Leads, mentors, and develops field...SeniorRegulatory$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...SeniorRegulatoryFull timeTemporary workPart timeLocal areaRemote workShift work- ...highly skilled Risk Adjustment Business Analyst who can bridge regulatory requirements with operational execution across Medicare Advantage... ...- Combine workbooks in Excel. Diagnosis and coding - CMS - Medical records coding and reports. Education: Bachelor...CmsSeniorRegulatory
- ...Senior Clinical Project Manager – Oncology/Hematology (Phase III... ...Project Manager, you will take a lead role in advancing Phase III... ...across Clinical Operations, Regulatory Affairs, Data Management, Biostatistics... ...and Trial Master File compliance. Business Development...SeniorRegulatoryContract workRemote work
$106.61k - $284.28k
...Epic EHR Development Lead is responsible for... ...strategy, regulatory requirements, and... ...a subject matter expert and team leader, partnering... ...(HIPAA, CMS, Joint Commission,... ...optimization Quality, Compliance & Performance Monitor... ...solving with senior leadership Bachelor...CmsSeniorRegulatoryHourly payFull timeTemporary workLocal area$230k - $285k
...which transplant is not currently an option. The Director, Senior Counsel, Regulatory & Compliance role is responsible for a broad range of legal,... ...regulations. This role is primarily responsible for providing expert legal support to Marketing, Sales, Medical Affairs,...SeniorRegulatoryTemporary workRemote 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$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- ...characteristic prohibited by law. Position: Senior Director, Quality & Regulatory Affairs Location: Lansing, MI Job... ..., quality control, regulatory compliance, quality systems, inspection... ...8+ years’ experience managing and leading teams and departments, scaling them...SeniorRegulatoryFull timeMonday to FridayShift work
$80.6k - $145k
Job Responsibilities Leads the clear and accurate completion of medical writing deliverables... ...meetings. Adheres to established regulatory standards, including, but not limited to... ...employees. The Company is committed to compliance with the Americans with Disabilities Act...SeniorRegulatoryContract workFlexible hours
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