Healthcare Jobs in Pennsylvania

Job Information Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

Description The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance Lead (SNP) ..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance Lead develops and ..

Job Information Humana Senior Compliance Professional (Network & Credentialing) in Pittsburgh Pennsylvania Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ..

Director of Pharmacy - Lancaster PA USA - MAX 150,000 Note: Applicant must be resident of the USA or Green Card Holder. Must-Haves BS Pharmacy required Must hold a current state ..

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..

Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Pittsburgh Pennsylvania Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ..

Job Information Humana Senior Compliance Professional - Medicaid in Pittsburgh Pennsylvania Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional's work assignments involve moderately complex to ..

Job Information Humana Compliance Professional 2 - Medicaid in Pittsburgh Pennsylvania Description Responsibilities Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's ..

Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..

Job Information Humana Compliance (UM) Coordinator 2 in Pittsburgh Pennsylvania Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and moderately ..

Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..

Job Information Humana Senior Compliance Professional- Medicare Sales and Marketing in Pittsburgh Pennsylvania Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..

Job Information Humana Compliance Lead - Illinois Medicaid in Pittsburgh Pennsylvania Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..

Job Information Humana Senior Compliance Registered Nurse in Pittsburgh Pennsylvania Description Humana Healthy Horizons in Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory reporting for Case Management and ..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead will analyze business requirements, provide research and regulatory interpretation, and advise internal business units and external business partners in ..

Job Information Humana Senior Compliance Professional - Disability and Life Insurance in Pittsburgh Pennsylvania Description The Senior Compliance Professional will analyze business requirements, provide research and regulatory interpretation, and advise internal ..

Job Information Humana Senior Compliance Professional, Specialty Compliance in Pittsburgh Pennsylvania Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involving moderately complex to ..

Administration & Customer Service (5) Architecture & Design (2) Biotechnology & Laboratory (4) Consulting (0) Data Science (7) Education & Training (1) Engineering (10) Healthcare (6) Human Resources (1) Information Technology ..