Compliance Officer in United States

Become a part of our caring community Humana Healthy Horizons is looking for a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. You will lead the beginning-to-end operational support of specialty Medicaid value-based payment (VBP) models in alignment with segment strategy and goals. The Value-Based Programs Lead will be a subject matter expert in VBP and have advanced technical knowledge and experience. Develop new innovative VBP models for range of provider types, such as behavioral health, maternity, specialists, and social determinants of health, creating glide paths to move providers from volume to value. Align scope of work with roadmap for new VBP model development to ensure compliance with Medicaid contractual requirements and RFP commitments. Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care. Creation of VBP payment strategies and model design, such as developing payment model logic, performance metrics and benchmarks, and financial terms, which align with segment goals. Design and contribute to development of provider reporting packages to help providers understand their overall and detailed performance. Partner with finance team to conduct impact analysis and modeling for new VBP models. Collaborate with team members and matrixed teams to operationalize and rollout of new VBP models. Contribute to developing solutions to operational gaps. Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data. Ability to translate strategy into models that can be piloted and scaled across markets. <

Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it’s the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The Manager, Sales Support plays a vital leadership role in enabling sales success and operational efficiency across the field sales organization. This role is responsible for managing a team of Sales Support Professionals, partnering with regional and channel leadership, and aligning cross-functional support across compliance, operations and other HQ partners. This individual supports effective execution of sales strategies and drives continuous process improvement to maximize field productivity and performance. Primary Duties and Responsibilities: Strategic Sales Support Serve as the lead point of contact for field execution of strategic initiatives. Support field execution of channel initiatives, product launches, and training deployments. Guide field teams through workflows and escalate issues when necessary. Support the deployment of career field channel initiatives to drive regional performance. Operational Execution & Performance Management Lead sales operations activities such as territory alignment, resource allocation, and performance reporting. Prepare reports and presentations for sales leadership, including performance dashboards and forecasts. Leverage in-market data to identify trends, opportunities, and risks, and translat

Become a part of our caring community The Principal Product Owner / Architect is a dual-mandate leadership role that unifies product strategy and solution architecture across CenterWell's four core business segments: Pharmacy, Primary Care Organization (PCO), Home Solutions, and Humana Military. This senior individual contributor serves as the connective tissue between business vision and technical execution—owning cross-segment product roadmaps while simultaneously authoring and governing the architectural blueprints that underpin them. You will operate within CenterWell IT – Cross-CenterWell Architecture, partnering with segment product leaders, engineering teams, EA Activation, security, data, and compliance to deliver integrated, interoperable health solutions that serve members, providers, and partners across the full care continuum. Your decisions shape what gets built, how it gets built, and the standard by which all four segments measure delivery readiness. DAY-TO-DAY Key Activities Define and own a unified cross-segment product roadmap that balances segment-specific priorities against shared platform investments, and communicates trade-offs clearly to leadership. Establish and maintain reference architectures, design patterns, and integration standards applicable across all four CenterWell segments. Conduct cross-segment discovery sessions, design workshops, and architecture reviews to surface shared needs, resolve competing priorities, and prevent duplicative build. Own and prioritize top-level product backlogs for shared platforms, partnering with segment product owners to decompose initiatives into delivery-ready user stories with clear acceptance criteria and non-functional requirements (NFRs). Define integration contracts, API standards, and domain boundaries for cross-segment data flows spanning pharmac

Become a part of our caring community The Medical Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment. As the Medical Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions. Work with teams to improve documentation, data integrity, and workflow processes Use your skills to make an impact Required Qualifications AHIMA or AAPC CPC (Certified Professional Coder) Certification 3 or more years of medical coding education or auditing in a healthcare setting experience Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience interpreting large data sets Demonstrated knowledge of healthcare risk adjustment, including HCC coding and CMS-HCC model version 28. Experience speaking with leadership, webinars public speaking or presentation skills with healthcare providers Live in NC, SC, GA, VA or TN Preferred Qualifications Bachelor's Degree Value-based care Primary care Medicare Risk Adjustment kn

Role Summary Pfizer Commercial Oncology is introducing the world to the next era of cancer care. With a growing portfolio of novel therapies, industry-leading R&D, and a goal of delivering eight breakthroughs by 2030 across major cancer types, we're translating cutting-edge science into market-shaping impact. Here, you'll partner with exceptional colleagues across scientific, medical, and manufacturing teams, backed by advanced digital and AI-enabled infrastructure and the authority to accelerate medicines from discovery to delivery. Guided by our values of courage, excellence, equity, and joy, you'll have the opportunity to stretch your skills and build a career that evolves with you—across teams, roles, and the Pfizer enterprise. Join us to make history — for patients, for their families, for the future. The Senior Oncology Account Specialist (SOAS) will have a variety of responsibilities, ranging from promoting Pfizer’s product portfolio to health care providers and specialists, to educating members of the healthcare community regarding the appropriate use of Pfizer products, to calling on accounts and organized customers to help improve patients’ experience with Pfizer products, as well as the overall quality of patient care delivered. The SOAS plays a critical role in increasing Pfizer’s brand with high-value target customers by linking an insightful assessment of the account and/or business landscape with a strong understanding of Pfizer’s products and resources. BASIC QUALIFICATIONS BA/BS Degree from an accredited institution BA/BS Degree from an accredited institution OR an associate’s degree with 8&#43; years of experience; OR a high school diploma (or equivalent) with 10&#43; years of relevant experience. Ability to travel domestically and stay overnight as necessary Valid US driver’s license and driving record in compliance with company

Use Your Power for Purpose Every day, Pfizer’s unwavering commitment to quality ensures the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is both flexible and innovative, always putting the patient first. Whether you are involved in development, maintenance, compliance, or research analysis, your contribution directly impacts patients. What You Will Achieve The incumbent plays a vital role as a member of the Quality Environmental Control (EC) Laboratory team, actively engaging in efforts to elevate laboratory processes and outcomes. Under the guidance of the Environmental Monitoring (EM) Section Manager and supported by designated EM Shift Team Leaders, the incumbent is entrusted with systematic collection, thorough analysis, and careful inspection of environmental conditions across both laboratory and manufacturing settings. All work is conducted in strict accordance with Standard Operating Procedures (SOPs), ensuring consistency, reliability, and regulatory compliance. Duties extend to handling a wide range of sample types, including both physical and microbiological samples derived from air, surfaces, and water systems. The incumbent conducts qualitative, quantitative, and investigational assays on pharmaceutical waters, raw materials, and commodity items, exercising expert knowledge of environmental monitoring, aseptic technique, and microorganism handling. All analyses are performed in line with the requirements set forth by the United States Pharmacopeia (USP), Food and Drug Administration (FDA), and other regulatory authorities, in addition to A core aspect of the role is the meticulous comparison of results against established specifications, with comprehensive documentation maintained to uphold data integrity regulations. The incumbent is responsible not only for identifying and reporting any deviations from process or specification but also for

Job Details: Job Description: The Role and Impact As a Manufacturing Quality and Reliability Engineer, you will play a pivotal role in ensuring the flawless production and reliability of Intel products. You will manage the qualification of manufacturing ramps to high volume, specifying inspection and testing mechanisms, and conducting quality assessments to confirm compliance with industry-leading standards. Through your expertise, you will drive continuous process improvement, proactively address quality challenges, and optimize cost and production scalability, contributing to Intel's commitment to delivering groundbreaking innovation. Business group The Quality Systems Organization within Intel Foundry is dedicated to ensuring the excellence and dependability of Intel's manufacturing operations and processes. This team focuses on developing and implementing robust quality systems, supporting Intel's broader mission to deliver world-class technological solutions to customers. By fostering a culture of proactive improvement, the group plays a critical role in advancing Intel's manufacturing capabilities. Key Responsibilities - Own the qualification of manufacturing ramps to high volume, ensuring products and processes meet quality and reliability standards. - Develop inspection and testing mechanisms and conduct audits to assess compliance with established quality benchmarks. - Lead continuous improvement initiatives to enhance quality systems and foster a culture of proactive quality management. - Manage excursion events, change control processes, and supplier audits while driving supplier performance improvements. - Represent the quality and reliability function in product engineering and development forums, offering recommendations to enhance system, process, and product reliability. - Develop systems for early detection and containment of excursions and con

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Requisition Job Description Position Summary The Director, Corporate Affairs Technology leads the strategy, delivery, and operations of technology solutions supporting Legal, Compliance, and Corporate Security functions. This role partners with Corporate Affairs leadership to enable regulatory compliance, risk management, and enterprise protection through modern, scalable, and AI-driven technology solutions. This position is a leader-of-leaders role , with direct oversight of Senior Managers and their teams, and is accountable for delivering business-aligned outcomes across the Corporate Affairs application portfolio. Key Responsibilities Define and execute the technology strategy and multi-year roadmap for Corporate Affairs (Legal, Compliance, Corporate Security) Serve as a strategic partner to business leadership, aligning technology solutions to legal, compliance, and security priorities Lead and develop Senior Managers and their teams , ensuring strong performance, accountability, and organizational growth Own the end-to-end application portfolio , including design, delivery, operations, and modernization of platforms Champion AI, automation, and advanced analytics solutions to transform legal, compliance,

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule in a company provided vehicle. Delivery Drivers take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and always maintain patient confidentiality. Successful Delivery Drivers will utilize a customer service mindset to manage all assigned pharmacy workstations and tasks to support the team’s ability to fill patient prescriptions promptly, safely and accurately. Provide timely and accurate delivery of medication, equipment, products and/or supplies into long term care facilities or patient’s homes Load products/materials Responsible for vehicle maintenance and alerting management for maintenance issues. Maintain and full compliance with all Federal, State and Local laws and regulations Maintain highest professional and ethical standards Following all applicable government regulations including HIPAA to ensure patient confidentiality While no professional driving experience is required, we encourage those with previous driving experience as a limo driver, taxi/bus driver, courier, or gig-economy worker to apply. While employees learn and develop their careers, they also receiv

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule in a company provided vehicle. Delivery Drivers take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and always maintain patient confidentiality. Successful Delivery Drivers will utilize a customer service mindset to manage all assigned pharmacy workstations and tasks to support the team’s ability to fill patient prescriptions promptly, safely and accurately. Provide timely and accurate delivery of medication, equipment, products and/or supplies into long term care facilities or patient’s homes Load products/materials Responsible for vehicle maintenance and alerting management for maintenance issues. Maintain and full compliance with all Federal, State and Local laws and regulations Maintain highest professional and ethical standards Following all applicable government regulations including HIPAA to ensure patient confidentiality While no professional driving experience is required, we encourage those with previous driving experience as a limo driver, taxi/bus driver, courier, or gig-economy worker to apply. While employees learn and develop their careers, they also receiv

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Senior Manager, Project Management is responsible for leading and overseeing Coordination of Benefits projects and operational initiatives that improve payment accuracy, reduce overpayments, enhance compliance, and drive process efficiency across the organization. This role manages a portfolio of complex, cross-functional projects and collaborates with stakeholders across Claims, Enrollment, Provider Services, Operations, Technology, Analytics, and Vendor Management to ensure successful delivery of strategic business objectives. The Senior Manager is accountable for defining project scope, objectives, timelines, resource requirements, and success measures while ensuring initiatives are delivered on time, within budget, and aligned with organizational goals. This role leverages data analytics and business intelligence to identify trends, assess risks, develop solutions, and implement process improvements that enhance operational performance and the provider and member experience. In addition to project leadership, the Senior Manager directly manages staff, providing day-to-day leadership, coaching, performance management, and professional development. Responsibilities include establishing team priorities, allocating resources, managing workload distribution, fostering collaboration, and creating a culture of accountability, innovation, and continuous improvement. The role

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule in a company provided vehicle. Delivery Drivers take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and always maintain patient confidentiality. Successful Delivery Drivers will utilize a customer service mindset to manage all assigned pharmacy workstations and tasks to support the team’s ability to fill patient prescriptions promptly, safely and accurately. Provide timely and accurate delivery of medication, equipment, products and/or supplies into long term care facilities or patient’s homes Load products/materials Responsible for vehicle maintenance and alerting management for maintenance issues. Maintain and full compliance with all Federal, State and Local laws and regulations Maintain highest professional and ethical standards Following all applicable government regulations including HIPAA to ensure patient confidentiality While no professional driving experience is required, we encourage those with previous driving experience as a limo driver, taxi/bus driver, courier, or gig-economy worker to apply. While employees learn and develop their careers, they also receiv

Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. Do you have outstanding piloting skills with an exceptional corporate background in the air? We are seeking a new pilot to add to our professional corporate aviation team! As Pilots in Command we are responsible for the safe and efficient operation of Micron Corporate Aircraft while in compliance with all applicable FAA regulations, rules, directives, aircraft flight manuals and company procedures and policies. We are ultimately responsible for the well-being of the passengers, crew and aircraft. The Pilot in Command will report to the Chief Pilot and may perform additional duties as assigned. Responsibilities: Maintain a high-level of proficiency in Micron Corporate Planes. Ensure preflight and post-flight inspections and duties are conducted. Acquire updated weather reports, NOTAMS, preform weight, & balance for each flight. Ensure all flights are in compliance with all FAA/FAR's, Micron Procedures and Policies. Ensure all company issued iPads are maintained. Passenger briefings are carried out in accordance with FAR's & Micron polices. All cockpit checks are performed in accordance with AFM & Micron polices. Follow Company Checklist and SOP's. Report any mechanical irregularities to Chief Pilot in a timely manner. </li

Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. Do you have outstanding piloting skills with an exceptional corporate background in the air? We are seeking a new pilot to add to our professional corporate aviation team! As Pilots in Command we are responsible for the safe and efficient operation of Micron Corporate Aircraft while in compliance with all applicable FAA regulations, rules, directives, aircraft flight manuals and company procedures and policies. We are ultimately responsible for the well-being of the passengers, crew and aircraft. The Pilot in Command will report to the Chief Pilot and may perform additional duties as assigned. Responsibilities: Maintain a high-level of proficiency in Micron Corporate Planes. Ensure preflight and post-flight inspections and duties are conducted. Acquire updated weather reports, NOTAMS, preform weight, & balance for each flight. Ensure all flights are in compliance with all FAA/FAR's, Micron Procedures and Policies. Ensure all company issued iPads are maintained. Passenger briefings are carried out in accordance with FAR's & Micron polices. All cockpit checks are performed in accordance with AFM & Micron polices. Follow Company Checklist and SOP's. Report any mechanical irregularities to Chief Pilot in a timely manner. </li

Senior Relocation Specialist - US Immigration Company: The Boeing Company Boeing’s Global Mobility Services organization is currently seeking Senior Relocation Specialists to join our International Relocation team in Hazelwood, MO ; Mesa, AZ ; Plano, TX or Seattle, WA . These roles will support our U.S. immigration and global relocation programs, ensuring compliance, operational efficiency, and a superior employee experience. These selected candidates will also manage immigration processes related to employee relocations and assignments while partnering closely with HR, Talent Acquisition, Legal, Payroll, and third-party suppliers to manage immigration and relocation processes end to end. This is a high-impact role that requires speed, clarity, timeliness and accuracy to drive compliance and deliver critical support for immigration and mobility services. The successful candidates will serve as a trusted immigration subject matter expert (SME), navigating an evolving U.S. immigration landscape while designing the systems and policies that enable Boeing to build a global talent pipeline while delivering a seamless employee experience. Position Responsibilities: Serve as SME for U.S. immigration programs while providing guidance on visa, work authorization, and immigration compliance matters Manage immigration and relocation cases from initiation through completion. Manage the end-to-end U.S. immigration lifecycle, from offer and pre-hire assessment through visa processing, extensions, renewals, permanent residency, and other applicable immigration matters, including H-1B, O-1, J-1, TN, E-3, L-1, F-1 OPT/STEM, PERM, and LCAs Partner with Talent Acquisition, Human Resources, hi