Humana Inc. is seeking a Risk Management Professional 2 to lead quality audits within the CenterWell UM program, ensuring CMS/NCQA compliance. The role emphasizes audit accuracy, data analysis, and identifying risks with Power BI and Power Apps support. The ideal candidate has deep clinical criterion knowledge, familiarity with Medicare manuals, NCDs, LCDs, and MCG guidelines, and RN licensure. Travel may be required occasionally. #J-18808-Ljbffr
RN Risk & Quality Auditor Data-Driven UM Lead • Bismarck, ND, United States
IT Auditor I/II/III/IT Audit Specialist, Sr.Responsible for placing safety as #1 priority in day-to-day work routine for self and others.IT Auditor I/II/III: Conduct or assist in conducting audits ... Show more
Director of Campus Safety and Security.The Director of Campus Safety and Security supports the implementation of the Student Development Strategic Plan "Made for Encounter" as guided by their direc... Show more
The following are the duties of this position at the full working level.If this vacancy includes more than one grade and you are selected at a lower grade level, you will have the opportunity to le... Show more
Manage full cycle leave of absence cases via ServiceNow for all of the United States plus Canada.Case load average is 150+ cases and the specialist handles the case from intake to eligibility check... Show more
Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment.Boundary Street Nor... Show more
At Bayer we're visionaries, driven to solve the world's toughest challenges and striving for a world where 'Health for all Hunger for none' is no longer a dream, but a real possibility.We're doing ... Show more
Maintains accurate warehouse inventory.Corrects discrepancies in stock status and book inventory.Audits Receiving, RTV and FE reports as needed to identify and correct errors.Audits other departmen... Show more
Director, Business Management & Data Products Growth Analytics.We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience.At... Show more
IT Auditor I/II/III/IT Audit Specialist, Sr.Responsible for placing safety as #1 priority in day-to-day work routine for self and others.IT Auditor I/II/III: Conduct or assist in conducting audits ... Show more
This position must be located in-person only, at any of our Cornerstone Bank (ND/SD) locations.At Cornerstone Bank, we do more than banking we build relationships, embrace bold ideas, and empower ... Show more
At American Engineering Testing (AET), we believe that people are the heart of innovation.We create an environment that values teamwork, curiosity, and continuous improvement while delivering innov... Show more
Lead SAP Treasury Implementation: Take ownership and lead the design, configuration, testing, and deployment of SAP Treasury solutions within a Greenfield implementation project.FSCM Module Experti... Show more
The Quality Manager serves as a firmwide technical leader responsible for ensuring architectural excellence, consistency, and design integrity across all project phases.This role leads quality assu... Show more
Job Description** In Oracle Health, we are at the intersection of healthcare and IT to deliver pioneering products and services that shape the way healthcare is provided.Our best-in-class technolo... Show more
Job Description** **Client Success Director** **Location:** Must be based in Northeastern United States **Travel:** Approximately 25% **About the Role** Oracle Health is seeking a strategic,... Show more
Do you have a noticeable passion for results?.Connecting people with the information they need is your forte.You're a unifier by nature and you're at your best when setting others up for success.Yo... Show more
Senior Manager Finance - REMOTE.The Senior Manager Finance will provide financial analysis, forecasting, planning and data analysis support for Fleet Management Solutions' (FMS) largest product lin... Show more
Job Description** An experienced consulting professional who has an understanding of solutions, industry best practices, multiple business processes or technology designs within a product/technolo... Show more
Arby's Restaurant Assistant Manager.Based in Northern Indiana, AES Restaurant Group, LLC is a proud franchisee of Arby's operating restaurants across 344 locations in 20 states.We're guided by our ... Show more
The following are the duties of this position at the full working level.If this vacancy includes more than one grade and you are selected at a lower grade level, you will have the opportunity to le... Show more
