Humana
Des Moines, IA
Become a part of our caring community The Risk Management Lead identifies and analyzes potential sources of loss to minimize risk. The Risk Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Humana's Operational Risk Management organization is seeking a Risk Management Lead to coordinate the monthly data collection process, specifically aligned with CMS requirements for CDAG (Coverage Determination Appeals and Grievances) Collection regarding Initial Determinations, Appeals and Grievances within the Medicare sector. This position is responsible for ensuring compliance with regulatory requirements and supporting both business and IT stakeholders throughout the process. In addition, will implement the 2027 Protocol version of the CDAG Universes. Key Responsibilities: Maintain process documentation for the monthly data collection process in collaboration with team members. Write logic to be applied to the...

