Remote Insurance Compliance Lead – Medicare
1 week ago
A leading healthcare provider is seeking an Insurance Product Compliance Lead to ensure compliance with insurance regulations. The role involves researching and analyzing risk, consulting on regulatory guidance, and partnering with stakeholders to maintain compliant insurance products. Ideal candidates will have experience with Medicare Advantage and Medicaid, strong communication skills, and the ability to work independently in a dynamic environment. This is a remote position requiring occasional travel for training or meetings.#J-18808-Ljbffr
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Remote Insurance Compliance Lead – Medicare
1 week ago
Boise, United States Humana Inc Full timeA leading healthcare provider is seeking an Insurance Product Compliance Lead to ensure compliance with insurance regulations. The role involves researching and analyzing risk, consulting on regulatory guidance, and partnering with stakeholders to maintain compliant insurance products. Ideal candidates will have experience with Medicare Advantage and...
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Boise, United States Humana Inc Full timeA leading healthcare organization is seeking a Medical Director to provide medical oversight and ensure compliance with Medicare guidelines. Candidates should have an MD or DO degree, board certification, and 5+ years of clinical experience. This remote role may require occasional travel for meetings or training. Competitive pay ranges from $223,800 to...
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Boise, United States Humana Full timeA leading healthcare company is seeking an Encounter Data Management Professional to ensure accurate submission and reconciliation of encounter data for Medicare/Medicaid. This remote position requires a Bachelor's degree or relevant claims experience. Key responsibilities include developing submission processes, ensuring compliance, and identifying...
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Claims Process Executive
3 days ago
Boise, United States Remote Staffing Full timeClaims Processing - HybridJoin our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts allowing you to balance work and personal commitments effectively. Your...
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Boise, United States Humana Inc Full timeA healthcare organization is seeking a Medical Director to lead medical interpretations and provide expert decision-making for healthcare services. The ideal candidate will have an MD or DO degree, 5+ years of clinical experience, and a strong collaborative spirit. This remote position requires participation in weekend work, offering flexibility and...
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Remote Senior Education Compliance Lead
1 week ago
Boise, United States Pearson Full timeA leading online education provider is seeking a Senior Compliance Specialist to ensure compliance with applicable education laws and regulations. This remote position requires strong legal research skills and 5–7 years of experience in a law firm or legal department. Responsibilities include analyzing legislation, providing guidance to internal teams, and...
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Boise, United States Humana Inc Full timeA reputable health services company is seeking a Senior Learning Design Professional to lead the design and development of effective learning experiences for Medicare Advantage sales agents. This role requires expertise in instructional design and eLearning, translating complex regulations into accessible training content. With a focus on improving...
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Medicare Product
1 week ago
Boise, United States PacificSource Full timeA healthcare insurance provider is seeking a Senior Director of Product & Regulatory Management in Boise, ID. The role involves leading product strategy, compliance with regulations, and overseeing the product lifecycle for Medicare and commercial offerings. Ideal candidates should have significant experience in product management, supported by a Bachelor's...
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Medicare Product
1 week ago
Boise, United States PacificSource Full timeA healthcare insurance provider is seeking a Senior Director of Product & Regulatory Management in Boise, ID. The role involves leading product strategy, compliance with regulations, and overseeing the product lifecycle for Medicare and commercial offerings. Ideal candidates should have significant experience in product management, supported by a Bachelor's...
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Remote VP, Medicare
2 weeks ago
Boise, United States Prime Therapeutics Full timeA health care provider is seeking a Vice President of Government Programs to drive the development and execution of strategic plans in the Medicare space. This role involves leadership oversight, collaboration with executive teams, and financial management to enhance product growth in Medicare and Medicaid. Qualified candidates should possess a bachelor's...