- UpvoteDownvoteShare Job
- Suggest Revision
Minimum of 4 years of relevant experience in enterprise risk management, operational risk, internal audit, regulatory compliance, or related fields within the banking or financial services industry.
$90,000 - $105,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
A unique skill-set with high attention to detail and subject matter expertise in Clinical Research Regulatory Affairs management is essential to drive effectiveness eliminate redundancies and increase both sponsor and site(s) performance.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Program Manager possesses a deep understanding of enterprise risk management principles, regulatory compliance, and serves as the expert in implementation and utilization of GRC tools to streamline and enhance risk management processes.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Information Technology also conducts incident response, threat management, vulnerability scanning, virus management and intrusion detection and completes risk assessments. Experience working within regulatory standards and requirements such as SOX, HIPAA, GDPR, HITRUST is preferred.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Knowledge of regulatory requirements such as Health Insurance Portability and Accountability Act (HIPPA), HITECH, Payment Card Industry Data Security Standards (PCI DSS), and FIPS-140. Provide Leadership to the Department: lead and champion organizational change; encourage participation in activities that support relationship development; champion information security and risk management innovation; demonstrate and champion the following characteristics in fulfilling the responsibilities of the job - passion, empowerment, accountability, collaboration and ethics.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Serve as the lead attorney for the company’s Value-Based Care business unit advising the VBC leadership team on legal and regulatory matters, risk management strategies, and contracting strategies.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Our U.S. planning and water resources business has seen consistent growth driven by our clients' needs to address challenges stemming from surface water/groundwater supply, operations, and associated regulatory requirements; development of aquifer storage and recovery systems; reservoir operation and seepage control; surface water management options; and the development of alternative water supplies.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Under the direction of the Manager Psych Care Management and within an interdisciplinary team, the LMSW Psychiatric Liaison performs professional social work service for psychiatric adult, adolescent and geriatric patients.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits) When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Provide legal support to data risk management functions (includes privacy, data governance, model risk management and records management) This position will serve as lead legal counsel and strategic adviser to our regulated business unit that provides leading consortium-based solutions that help financial institutions manage fraud and risk, improve customer experiences, and meet regulatory obligations while providing a host of financial services in brick-and-mortar and digital experiences.
$240,000 - $280,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Humana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulatory agencies, and industry groups to ensure the company's technology and cybersecurity risks are effectively managed and compliance objectives are achieved.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Reviews and analyzes third-party payer denials for in house patients, and communicates to attending physician , Case Management, Manager, Utilization Management Medical Director, and Utilization Management Nurse as per department protocols.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for Dupixent. Achieve and maintain compliance with all applicable Sanofi-Genzyme policies and procedures, regulatory and legal requirements, and help to monitor compliance during cross functional team interactions.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Familiarity with Regulatory agencies including Federal Energy Regulatory Commission (FERC) and North America Electric Reliability Corporation (NERC). Working knowledge of Supervisory Control and Data Acquisition (SCADA) Energy Management System (EMS.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Execute projects according to the DVS business management system and the ESG/EHS Technology PM Playbook, coordinating with PDMs as necessary. Sitting within the Platforms, Technologies, & Software Solutions business unit of DVS, our ESG/EHS Technology group specializes in leading clients through solution planning, design, and implementation to digitize their business processes and reporting for regulatory compliance and environmental/social/governance needs.
RemoteExpandApply NowActive JobUpdated Today
utilization management regulatory jobs in Phoenix, AZ
FEATURED BLOG POSTS
How to Take Your Careers Page to the Next Level
Your careers page deserves a lot of attention. It is not just another page on your website. It is a vital tool that could enhance your recruitment outcomes. But in order to do that, you have to make sure it's fully optimized.
When to Tell Your Boss You're Job Searching
The Bureau of Labor Statistics has found that individuals, on average, have 12.4 jobs throughout their working life. So regardless of where you are on the career ladder, it’s inevitable that at some point, you’ll begin looking for another job. That said, you might be wondering,
What Questions Can You Not Ask in an Interview?
It can be stressful to interview candidates to fill an open role at your company. Maybe your boss is on you to hire someone who’s absolutely perfect as soon as possible. Maybe you don’t have a ton of experience yet in conducting interviews. Whatever the case, there’s a lot to take under consideration when you’re the one in charge of interviewing. For instance, “What questions can you not ask in an interview?” may very well be running through your mind given its legal ramifications. Knowing exactly which interview questions are off-limits (and which are fine to ask) will boost your confidence as you continue to search for the ideal new hire.
How to Prepare to Be Fired - What You Need to Do
If you’re reading this, let me be the first to tell you how sorry I am. Getting fired feels crappy, disheartening, hurtful, and all the other bad, sad words. But here’s what I want you to do. First, let yourself fumble for a minute. Then, pick your head up — sometimes getting fired is a blessing in disguise. If you think termination is around the corner, we’ll teach you how to prepare to be fired and what to do next so you land somewhere even better.
How to Find a Job That Makes You Happy - 11 Concerning Facts
Do you ever feel like your life is like one of those rom-com movie scene openers? You know, the ones where the main character rolls out of bed, awakened by a casually upbeat theme song, sulks their way to the coffee pot, and then trudges toward their computer to begin yet another boring day at work?
How to Decline a Job Offer You Already Accepted
When you think about it, turning down a job offer is not the worst position you could be in. If you’ve been lucky enough to consider multiple job offers, well, then you’re lucky enough.
How to Practice Fair Chance Hiring for People With Criminal Records
Usually when you think of your dream hire, you think of someone who is respectful, trustworthy, reliable, and has sound judgment, right? As you envision your ideal candidate with these qualities, the last person you think of is someone with a criminal record.