Senior Insurance Compliance Lead CMS & Regulatory Expert
Humana
Humana Inc is seeking a Senior Insurance Product Compliance Professional who will serve as a subject matter expert, overseeing compliance activities for insurance products. The role includes mentoring compliance associates and ensuring that marketing materials meet federal and state regulatory requirements. The ideal candidate will have at least 5 years of experience in the insurance or healthcare industry and excellent communication skills. This remote position may require occasional travel for training or meetings. #J-18808-Ljbffr
$223.8k - $313.1k
...A healthcare services provider is looking for a Medical Director to evaluate healthcare services and ensure compliance with CMS regulations. The role entails reviewing clinical cases to determine medical necessity for Medicare and Medicaid members. Candidates must have...CmsRegulatoryRemote work$145.5k - $205k
...United Therapeutics is seeking an Associate Corporate Compliance Director to guide compliance strategy and ensure alignment with regulatory requirements. This role involves collaborating with Commercial and Medical Affairs on compliance activities while establishing key...SeniorRegulatoryRemote work- ...seeking an Associate Vice President, Insurance Product/Product Platform Management to lead the modernization of insurance... ...platforms. This role ensures compliance and accuracy across various offerings... ...multiple teams to achieve regulatory and operational goals. #J-18808-...SeniorRegulatoryRemote work
$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$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$100k
...seeking a Certification Lead to manage end-to-end... ..., audits, and ongoing compliance. This role provides leadership... ...and supporting regulatory-driven program... .... ??? Comprehensive Insurance Coverage - Choose from... ...and oversee the project CMS certification lifecycle...CmsRegulatoryRemote work$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$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$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,... ...Skill Requirements • Expert skills required for Smartsheet...SeniorRegulatoryWork at officeRemote workWork from homeWorldwide
$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$150.03k - $224.25k
...Provides critical support in developing global regulatory strategy, planning and execution of... ...in alignment with the Global Regulatory Lead. Translates complex pertinent global... ...dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan...SeniorRegulatoryTemporary workWork at officeLocal areaFlexible 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$70.6k - $141.2k
...health outcomes. The Senior Compliance Specialist provides... ...changing European regulatory requirements and act as a subject matter expert on EU market authorization... ..., dental, and vision insurance, including expert... ...potential at a company leading the way in AI and...SeniorRegulatoryTemporary workFlexible hours$55 - $60 per hour
...seeking an Asset Operations Senior Professional to join a leading financial services... ...while ensuring accuracy, compliance, and efficiency. This... ...environments. · Familiarity with regulatory policies, operational... ...opportunities, health insurance, sick leave, and 401(k)....SeniorRegulatoryHourly payDaily paidContract workWork at office- ...Development Financial Analyst, Senior serves as a bridge between... ...to resolve reporting and compliance issues. BD Reporting: Execute... ...formulas/databases; Regulatory Knowledge: Deep understanding... ...Health, dental, and vision insurance Paid time off and holidays...SeniorRegulatoryHourly payContract workLocal areaRemote work
$126k - $178k
...The primary objective of the Senior Product Manager, Field Optimization... ...This role will be focused on leading hospital optimization... ...based on clinical evidence, FDA regulatory approvals, and market trends.... ...digital platforms; ensure compliance, documentation, and budget oversight...SeniorRegulatoryWork experience placementWork at officeNight shift$118.5k - $251.6k
...specifically looking for a ** Senior Manager of Data Center Compliance Integration** . You... ...and primary engagement lead for all new data center... ..., sites, regions, regulatory frameworks, and material... ...Medical, dental, and vision insurance, including expert medical opinion #...SeniorRegulatoryContract workTemporary workFlexible hours$79.1k - $158.2k
...and analysis of evolving regulatory developments. It also provides... ...is recognized in full compliance with U.S. GAAP (primarily... ...Medical, dental, and vision insurance, including expert medical opinion Short... ...your potential at a company leading the way in AI and cloud...SeniorRegulatoryContract workTemporary workWork at officeRemote workFlexible hours$82.18k - $116.39k
...protects the State of Maine. The Senior IT Control and Compliance Manager leads the regulatory compliance and information... ...- Serve as subject matter expert on federal and state regulatory... ...personal leave. ~ Health Insurance Coverage - The State of Maine pays...SeniorRegulatoryFull timeSeasonal workWork at officeRemote workWork from homeFlexible hours- ...agency and executive management; is the agency subject matter expert on information security matters. The position will work with... ..., operational needs, incident response operations, and regulatory compliance efforts. WHAT WILL YOU DO? As the Agency Information...SeniorRegulatoryWork at office
- Job Title: Senior Digital Product Owner Location... ..., and vision insurance Tuition reimbursement... .... This position leads the development,... ...balancing customer needs, regulatory requirements, and... ...an existing and expert knowledge of... ...will be subject to compliance with the applicable...SeniorRegulatoryFull timeWork at officeLocal areaWorldwide
- ...development opportunities are industry leading, and the formula for our success is... ...Management Department by assisting with regulatory compliance activities, conducting pre-blast and post... ...from you: ~ Basic understanding of insurance practices relative to claims and loss...RegulatoryWork at officeLocal areaNight shift
- ...A technology service provider is seeking a Senior Systems Programmer specializing in storage solutions for their Mainframe Disaster Recovery team. The ideal candidate has over 10 years of experience with z/OS platforms, focusing on Data Recovery and system management...SeniorFlexible hours
- ...Maine Tasting Center is looking for a Senior Program Officer to provide oversight and leadership of the AmeriCorps portfolio. This role will ensure the compliance and success of grant projects by overseeing all aspects from pre-award to closeout while supervising grant...Senior
$104k - $143k
...Humana Inc in Augusta, Maine is seeking a Senior Product Manager to oversee medical authorization capabilities. The ideal candidate... ..., and a thorough understanding of clinical workflows and regulatory compliance. Responsibilities include strategizing product development,...SeniorRegulatoryFull timeRemote work- ...written communication skills. Skill in the use of computers. Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Must have one of these registrations or certifications and 5 years of...CmsRegulatoryImmediate start
$141k - $197.4k
...Rocket Software in Augusta, Maine, is seeking a Senior Director, Accounting to lead the global revenue recognition function and ensure compliance with US GAAP. This critical role will provide executive oversight and drive enterprise-wide accounting initiatives. The ideal...SeniorRemote work- ...Serco is seeking a Senior Manager for Trade Compliance to lead efforts in a 100% remote position. You will manage technical assistance agreements and ensure compliance with ITAR, supporting diverse projects for U.S. government clients. The ideal candidate will have at...SeniorRemote work
$27.02 per hour
...for new enrollment, yearly renewals, and amendments of group insurance contracts, or of self-funded plans in conformance with... ...guidelines and departmental procedures. Interfaces with physicians, regulatory / compliance staff, privacy and legal advisors to resolve medical risk...SeniorRegulatoryFor contractorsWork at officeLocal area
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!
- fulfillment expert Augusta, ME
- technology expert Augusta, ME
- guest service support expert Augusta, ME
- senior manager quality engineering Augusta, ME
- consultant senior consultant Augusta, ME
- senior director clinical development Augusta, ME
- senior cloud solutions architect Augusta, ME
- senior strategic account manager Augusta, ME
- senior civil engineer project manager Augusta, ME
- senior chief engineer Augusta, ME


