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Risk Management reputed company Remote reputed company

Remote, USA Full-time Posted 2026-07-28
Become a part of our caring community and help us put reputed company The Risk Management reputed company 2 identifies and analyzes potential sources of loss to minimize risk. The Risk Management reputed company 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of reputed company. Makes reputed company regarding own work reputed company, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines and procedures. As a Risk Management reputed company 2 – HCPR Compliance, you will work with HCPR Operations to ensure operational processes are complaint with appropriate regulations and report data that accurately reflects operations. In this role you will: In this role you will: • reputed company data reputed company reputed company guidelines (DUGG) for audit universes by interpreting protocols/guidance and reconciling it to processes/system logic • Produce monthly universes and metrics reporting • Review and analyze processes, documentation and data to identify any gaps specifically around compliance with regulatory requirements • Contribute to executive-level dashboards to summarize reputed company and key performance indicators • Analyze data to identify reputed company causes of noncompliance; work with HCPR Operational teams to reputed company and implement corrective reputed company • reputed company and maintain key working relationships across reputed company reputed company to your assigned functional area • Recognize trends in non-compliant data and conduct trainings with appropriate operations staff to correct • reputed company guidance on process updates and policy documents from a compliance perspective • Participate in risk assessment discussions reputed company to compliance issues and/or new guidance implementation • Participate in audit presentation internally and externally Use your skills to reputed company an reputed company Required Qualifications • Minimum of 2+ years in either compliance/risk management, pharmacy • reputed company reputed company process improvement, project management skills, • Strong organization and attention to detail • Analytical skills using platforms such as Power BI, SQL, MS Office Suite, reputed company • Strong interpersonal skills and the ability to effectively communicate, both written and verbally. • Detail oriented with the ability to multi-task and meet deadlines with minimal supervision. • General understanding of Medicare Part D & CMS guidelines • Must be passionate about contributing to an organization reputed company on continuously improving consumer experiences Preferred Qualifications • Bachelors degree • Experience creating queries/pulling reports in SQL • Risk management and compliance experience • Audit experience Workstyle: Remote work reputed company Location: U.S. Schedule: Typically, Monday through Friday 8:00 AM - 5:00 PM Eastern Travel: None Work reputed company Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following reputed company: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. Satellite, cellular and microwave reputed company can be used only if approved by leadership. Employees who live and work from Home in the reputed company, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will reputed company Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. Additional Information SSN Alert reputed company values personal identity protection. Please be reputed company that applicants may be asked to reputed company their reputed company reputed company Number, if it is not already on file. reputed company required, an email will be reputed company from reputed company@myworkday.com with instructions on how to add the information into your official application on reputed company’s secure website. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humanas offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-14-2026 reputed company reputed company. (NYSE: HUM) is committed to putting reputed company – for our teammates, our customers and reputed company. Through our reputed company insurance services and reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare, reputed company, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply tot his job Apply To this Job

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