Medicaid Compliance Lead - Kentucky Regulatory Expert
Humana Inc
Humana Inc. seeks a Compliance Lead to act as the Kentucky Medicaid Compliance Officer, guiding regulatory interpretation and minimizing risk across Humana’s Medicaid operations. You will lead audits, readiness reviews, and ongoing compliance activities with internal partners and external regulators. The role requires extensive experience in healthcare compliance, strong communication with stakeholders, and the ability to implement action plans across multifunctional teams. #J-18808-Ljbffr Humana Inc
$115.2k - $158.4k
## Compliance LeadApplylocations: Louisville, KYtime type... ...**The Compliance Lead ensures compliance with... ...Compliance Officer for Kentucky to analyze business requirements... ...provide research and regulatory interpretation, and... ...Lead for our Medicaid business, you will be...RegulatoryWeekly payFull timeContract workTemporary work$100k - $140k
...looking for someone like that who can:• lead or conduct reviews and audits of specific... ...of products and processes, of legal and regulatory requirements, as well as developing... ...teamYou will be working in the Americas Compliance, Operational Risk Control (CORC) audit team...RegulatoryFull timeFlexible hours- CVS Health is seeking a Program Integrity Manager to lead Medicaid, Payment Integrity and SIU activities, ensuring compliance with state and federal requirements and promoting fraud, waste and abuse prevention. You will partner with health plan leadership, compliance,...Suggested
$96k - $126k
## Compliance Program LeadApplylocations: US Remotetime... ...assist those eligible Medicaid recipients to choose and... ...Compliance Program Lead is responsible for leading... ...risk mitigation, and regulatory compliance.The... ...serves as a subject matter expert and trusted advisor to...RegulatoryLocal areaRemote work- ..., and direct the department across Commercial, Medicaid, and Medicare lines of business. This role leads program development, strategic planning, and operational... ...Directors to adjust criteria, and ensure regulatory compliance, external audits, and #J-18808-Ljbffr Sentara...RegulatoryRemote job
$75k - $90k
...Government Pricing, The Team Lead, Government Pricing is responsible... ...while meeting all client and regulatory deadlines. This is a... ...client deliverables, and ensure compliance with federal regulations. Serving... .... Knowledge of CMS, Medicaid, VA/FSS, and other federal pricing...RegulatoryPermanent employmentFull timeFor contractorsWork at officeLocal areaRemote workHome officeFlexible hours- RGCO, a Tampa-based CPA firm, is seeking a Tax Manager to lead advisory and compliance for pass-through entities. You will mentor staff, perform high-level tax research, and manage client relationships across Construction, Manufacturing, and Professional Services sectors...
- ...and Privileging Specialist to manage licenses, certifications, and privileges for clinical staff, ensuring compliance with organizational standards and regulatory requirements. The role maintains renewal workflows, keeps accurate documentation, and verifies staff qualifications...Regulatory
$117.6k - $161.7k
Become a part of our caring community The Lead for Medicaid Technology is responsible for driving... ...platform owners, aligning with regulatory requirements and enterprise architecture... ...release, and connectivity) to validate compliance and performance. Governance & Compliance...RegulatoryBi-weekly payFull timeContract workTemporary workWork at officeRemote workWork from homeHome office3 days per week- ...controls, and governance. This role ensures accuracy and timeliness of deliverables, reviews complex reconciliations, and guides regulatory compliance and technical accounting positions. You will mentor staff and communicate implications to stakeholders. The position...Regulatory
$113.25k - $163.58k
## GLP and GCLP Compliance Expert - VaccineApplylocations: Swiftwater, PAtime type: Full timeposted... ...to ensure compliance with applicable regulatory standards, industry guidance and... ..., OECD, ICH).* 3+ years of experience leading audits and managing external partners....Regulatory- ...plant, and compressor stations. You will repair, install, and calibrate PLC/DCS and related equipment while ensuring compliance with safety and regulatory requirements. The role requires experience with SCADA systems, field instrumentation, and electrical distribution....Regulatory
- ...build, and deliver top-notch technology products. As a Lead Solutions Analyst in Compliance - Corporate Sector, Trade Surveillance Technology, you... ...technical solutions that support our market surveillance and regulatory compliance capabilities.Job ResponsibilitiesDefine and...Regulatory
- ...Development and Housing Agency (MDHA) in Nashville, TN is seeking a Compliance Manager to oversee compliance monitoring, tenant file reviews,... ...the Senior Compliance Manager to ensure audit readiness and regulatory compliance. Responsibilities include monitoring HUD, LIHTC,...Regulatory
- Spreetail is seeking a Trade Compliance Specialist to ensure regulatory readiness and accurate HTS classifications to support safe, cost-effective import operations within Transportation. You will apply GRIs, section notes, and CBP guidance to classify products. You will...RegulatoryRemote job
- ...to advance documentation accuracy in a fully remote capacity. The role focuses on supporting coding accuracy, HCC capture, regulatory compliance, and clinical documentation integrity in outpatient settings. You will review medical records, use Epic and OPAs for prospective...RegulatoryRemote job
- ...Property Group is seeking a dedicated Affordable Apartment Community Compliance Specialist to support Blaisdell Apartments in Minneapolis, MN.... ...across properties. You will act as the primary contact for regulatory agencies, perform on-site audits, manage waiting lists, and...Regulatory
$107.5k - $188.4k
Lead Technical Product Manager — UpToDate Growth Locations: Hybrid from on of our US based... ...growth for our suite of UpToDate Expert AI products. This role spans the full clinician... ...required for clinical, privacy, and regulatory environments. User Insight & Market Understanding...Regulatory- ...coordinating across Servicing, Legal, Underwriting, Closing, Post-Closing, and Systems teams to ensure milestones are met in compliance with investor and regulatory requirements. The coordinator will guide modification processors, underwriters, and support staff, ensuring timely...Regulatory
$117k - $195.1k
...MANTECH seeks a motivated, career and customer-oriented Expert Instructional Designer and Developer - Lead Instructor to join our team. The Expert... ...and or external business challenges, vendor and/or regulatory issues; recommends product, process, or service improvements...RegulatoryHourly payContract workTemporary workWork experience placementWork at officeRemote work- Cohesity is seeking a Principal, Public Sector Compliance to own our FedRAMP, GovRAMP, and CMMC programs. You will lead authorization activities, drive continuous... ...product, and federal sales to align roadmaps with regulatory requirements. Bring 8-10 years of hands-on...Regulatory
- Jobtailor is seeking an experienced environmental professional to lead compliance initiatives in air, water, and waste management. The role... ...mentoring peers across the organization, with emphasis on regulatory documentation and permit processes. The ideal candidate will...Regulatory
- NextEra Energy Marketing, LLC is seeking a Compliance Manager to support SOX, CFTC and FERC compliance across NEER business units. The... ...partners to implement controls, monitor activity and prepare annual regulatory reports. Strong analytical skills and leadership are essential...Regulatory
- ...pretreatment inspectors, plans and budgets activities, and ensures compliance with federal, state, and local regulations. The coordinator... ...and stakeholders. The position requires strong leadership, regulatory knowledge, and the ability to implement complex #J-18808-Ljbffr...RegulatoryLocal area
- ...will help set service levels and manage program execution while ensuring compliance with PUCO orders and reporting requirements. The role emphasizes cross-functional collaboration with Regulatory, Technical Support, Backoffice and Energy Services teams, plus coaching and...Regulatory
- Blue Origin LLC is seeking a Supply Chain Compliance Administrator to lead export controls and regulatory compliance for major aerospace contracts. The role focuses on developing compliant processes, automating reporting, and educating teams on FAR and DFAR requirements...Regulatory
- ...worldwide. Our rigorous methodology ensures compliance with domestic and international... ...efficiently. Job Summary: The Materials Lead is responsible for developing and executing... ...Ensure compliance with safety, quality, and regulatory requirements. Design and implement...RegulatoryWorldwide
- Preferred Risk Insurance is seeking an experienced Regulatory Compliance Professional to strengthen our P&C compliance program, with a primary... ...regulations, assess impact on products and operations, and lead internal compliance reviews. This role requires coordinating...Regulatory
- ...professional responsible for administering all grants, ensuring compliance with guidelines, and delivering clear financial reporting. The... ...maintain thorough grant records while guiding departments on regulatory requirements and best practices. #J-18808-Ljbffr...Regulatory
- ...Birmingham, Alabama seeks an Environmental Affairs Manager to lead fleet environmental compliance, governance, permitting, EMS implementation, nuclear... ..., strategic thinking, and the ability to manage complex regulatory matters across #J-18808-Ljbffr Mississippi Power CoRegulatory
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