206 policy officer jobs found in Columbia

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Compliance Analyst (Regulatory Change Management) - Remote Job Description The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Lead project management efforts for highly sensitive...

We believe in the power and joy of learning At Cengage Group, our employees have a direct impact in helping students around the world discover the power and joy of learning. We are bonded by our shared purpose - driving innovation that helps millions of learners improve their lives and achieve their dreams through education.Cengage Group's portfolio of businesses supports student choice by providing a range of pathways that help learners achieve their goals and lead a choice-filled life. Our culture values inclusion, engagement, and discovery Our business is driven by our strong culture, and we know that creating an inclusive workplace is absolutely essential to the success of our company and our learners, as well as our individual well-being. We recognize the value of diverse perspectives in everything we do, and strive to ensure employees of all levels and backgrounds feel empowered to voice their ideas and bring their authentic selves to work. We achieve these...

Job Responsibilities Main Front Gate $44,682 - $45,704 The salary amounts provided represent the minimum and maximum ranges based on years of current agency service plus incentive structures at SCDC. It is important to note that not all individuals may qualify for the highest tier of base pay adjustments and incentives. Monitors and controls pedestrian and vehicle traffic, enforces current policy and procedures, and assist in non-routing problems. Makes sanitation, safety, and security inspections of all buildings, building contents, grounds and vehicles and corrects or reports shortcomings or deficiencies. Supervises and verifies accuracy of scheduled visitors and functions to ensure only authorized personnel are permitted to enter complex. Ensures escorts are provided when necessary for emergency personnel or special groups or functions. Monitors inmate movement within the area. Remain thoroughly familiar with search,...

Company Description At Western Digital, our vision is to power global innovation and push the boundaries of technology to make what you thought was once impossible, possible. At our core, Western Digital is a company of problem solvers. People achieve extraordinary things given the right technology. For decades, we've been doing just that-our technology helped people put a man on the moon and capture the first-ever picture of a black hole. We offer an expansive portfolio of technologies, HDDs, and platforms for business, creative professionals, and consumers alike under our Western Digital®, WD®, WD_BLACK, and SanDisk® Professional brands. We are a key partner to some of the largest and highest-growth organizations in the world. From enabling systems to make cities safer and more connected, to powering the data centers behind many of the world's biggest companies and hyperscale cloud providers, to meeting the massive and ever-growing data storage needs of the AI era,...

"We enable greatness in people and organizations everywhere. " FranklinCovey (NYSE: FC) is the workplace of choice for Achievers with Heart . We are one of the largest and most trusted leadership companies in the world, with directly owned and licensee partner offices in over 160 countries and territories. With more than 2,000 global associates, FranklinCovey transforms organizations by partnering with clients to build leaders, teams, and cultures that get breakthrough results through collective action. Our services and products are primarily delivered through our subscription offerings, which are comprised of the FranklinCovey All Access Pass, which is primarily sold through our Enterprise Division, and the Leader in Me membership, which is designed specifically for our Education Division. Enterprise clients include Fortune 100 , Fortune 500 , thousands of small and mid-sized businesses, and numerous government entities. FranklinCovey Education has shared our...

Become a part of our caring community and help us put health first The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director, internally known as a Clinical Pharmacy Lead, plans, directs, and monitors all financial, operational, professional, and clinical activities for the purposes of pharmacy program development for our Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a broad understanding of managed care and pharmacy benefit management (PBM) to develop and implement strategies and programs that drive...

Become a part of our caring community and help us put health first Who We Are Humana's CenterWell Senior Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country. CenterWell Medical Group is the newest line of business under the CenterWell umbrella, providing virtual wraparound services to a broad population of members who need it the most. We're a fast-growing organization changing how clinical care is delivered - using innovation, data, and technology to keep patients healthier. Our team is mission-driven, collaborative, and unafraid to challenge the status quo in healthcare. About the Role We're seeking a Clinical Operations Lead for CenterWell Medical Group who brings energy, creativity, and a bias toward action in transforming healthcare. This is a hands-on role for someone who loves to take big ideas and turn them into tangible results. Reporting directly to the Chief Medical...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Compliance Analyst - Remote Job Description The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to execute compliance program and compliance department activities related to demonstrating compliance program effectiveness through compliance hotline inquiry management and investigations, compliance education and communications, governance reporting, as well as executing program effectiveness self-assessments and data-driven reporting or dashboards. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Humana. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Become a part of our caring community and help us put health first The VP, CFO in the Primary Care Organization provides executive and financial leadership to Human's Primary Care Organization. The VP Reports into CenterWell Chief Financial Officer. Position Overview Humana, a $100 billion (Fortune 50) leader in integrated healthcare, is currently seeking an accomplished executive for the role of VP, CFO in the Primary Care business of its CenterWell subsidiary. As one of the...

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities NOTE: The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. VA Careers - Microbiology/Molecular Medical Technologist: https://youtube.com/embed/eSDGhIwZKdw Total Rewards of a Allied Health Professional The duties and responsibilities of the Clinical Laboratory Scientist include but are not limited to the following: Develops, performs, evaluates, interprets, correlates, and validates the accuracy of...

Job Type Part-time Description FN America, LLC is a U.S. subsidiary of FN Herstal, S.A., a global leader in the development and manufacturing of high-quality, reliable firearms for military, law enforcement and commercial customers worldwide. Headquartered in McLean, Virginia with manufacturing operations in Columbia, South Carolina, FN America is passionately committed to providing its customers with a portfolio of FN-branded products, training and support services that enhance user performance and safeguard their lives. For more information, visit us at or follow us on Facebook, Twitter and Instagram. Position Summary The Chief Financial Officer (CFO) serves as a strategic financial and operational leader for the U.S. subsidiary of a global manufacturing and government contracting firm. This role is responsible for overseeing all financial functions—including accounting, compliance, and FP&A—as well as leading the Information Technology (IT) function to ensure...

Summary This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy Education A bachelor's degree or higher from an accredited college or university Certification Candidates must...

Penn State Health - Medical Group Location: US:PA:Columbia Work Type: Part Time FTE: 0.5 Shift: Day Shift Differential: Exempt: Yes Hours: Varied Recruiter Contact: Please contact Amber L. Winters at awinters@pennstatehealth.psu.edu (MAILTO://awinters@pennstatehealth.psu.edu) for additional information. Health Care That's Personal - The Human Connection Penn State Health Medical Group is seeking a part-time Board-Certified/Board-Eligible Family Medicine Physician to join our thriving clinic in the charming town of Columbia, PA. Our clinic, located at 3985 Columbia Ave, offers comprehensive family practice services. We are committed to providing high-quality care to our community and are looking for a passionate leader to join our team. What we're offering: Competitive compensation package Sign on bonus Outpatient only clinic schedule - variable work week A collaborative environment Join a practice that offers...

Company Description At Western Digital, our vision is to power global innovation and push the boundaries of technology to make what you thought was once impossible, possible. At our core, Western Digital is a company of problem solvers. People achieve extraordinary things given the right technology. For decades, we've been doing just that-our technology helped people put a man on the moon and capture the first-ever picture of a black hole. We offer an expansive portfolio of technologies, HDDs, and platforms for business, creative professionals, and consumers alike under our Western Digital®, WD® and WD_BLACK Professional brands. We are a key partner to some of the largest and highest-growth organizations in the world. From enabling systems to make cities safer and more connected, to powering the data centers behind many of the world's biggest companies and hyperscale cloud providers, to meeting the massive and ever-growing data storage needs of the AI era, Western...

Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including...

Company : enGen Job Description : JOB SUMMARY Candidates residing within a 50-mile radius of Highmark offices in Camp Hill, Buffalo, or Pittsburgh will be required to work a hybrid schedule, with in-office attendance on Tuesdays, Wednesdays, and Thursdays at one of these locations. Candidates whose primary residence is outside this 50-mile radius will also follow a hybrid work model. **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** The Senior Information Risk Consultant serves as the strategic lead for M&A cybersecurity integration, driving governance and assurance across multiple concurrent acquisitions. This role establishes and manages the Cybersecurity Integration Management Office (C-IMO), ensuring seamless alignment of security requirements during pre- and post-acquisition phases. Beyond M&A, the position provides expert leadership in policy stewardship, control assurance, and information security program maturity,...

Company : Highmark Health Job Description : JOB SUMMARY The Director of Data Product Management is a leadership role responsible for developing, implementing, and continually refining our customer data product strategy from its foundational stages. This individual will define, develop, and execute the strategy for our core customer data products, ensuring they meet the evolving needs of Highmark and our customers. This individual will lead a team of product managers and analysts focused on specific areas of customer data, driving the realization of our Customer Data Product Strategy vision to empower downstream teams with personalized, high-quality, and timely interactions. This role requires a strong leader who can translate strategic opportunities into actionable product roadmaps, champion data quality and governance, and foster a data-driven culture. A robust technical background and the ability to effectively collaborate with engineering teams are paramount to...

VP Consulting DeliveryRemote - United StatesJR012636 At Ensono, our Purpose is to be a relentless ally, disrupting the status quo and unleashing our clients to Do Great Things _!_ We enable our clients to achieve key business outcomes that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with continuous change and embrace innovation. We can Do Great Things because we have great Associates. The Ensono Core Values unify our diverse talents and are woven into how we do business. These five traits are the key to achieving our purpose. Honesty Reliability Curiosity Collaboration Passion About the role and what you'll be doing: The VP of Delivery Excellence is a senior executive responsible for ensuring the successful execution of consulting services and projects across the organization. This leader drives operational excellence, customer...

Company : Highmark Health Job Description : GENERAL OVERVIEW Flexible Work Arrangements: At Highmark, we value both collaboration and flexibility. For this role, if you are located within 50 miles of Pittsburgh or any Highmark office, you'll enjoy a hybrid schedule, working from the office three days a week (Tuesday, Wednesday, and Thursday). If you live beyond this 50-mile radius, you'll primarily work remotely, with an expectation of traveling to an office location for team-focused building meetings a maximum of 1-2 times annually. This job is responsible for the successful definition, implementation and delivery of complex programs that requires cross-functional collaboration and interdependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget and under circumstances involving multiple moderate-probability, moderate-impact risk factors. Manages a matrix group of employees and contractors who...

Company : United Concordia Dental Job Description : JOB SUMMARY This job provides account support activities associated with the implementation and administration of groups and accounts. Provides assistance with non-standard benefit implementation tasks. Identifies and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may have direct interaction with producers, clients and sales reps to ensure complete implementation, on-going service and all renewal activity. The incumbent is new to the role and is developing competence in performing work assignments. ESSENTIAL RESPONSIBILITIES Load and maintain group information and benefit files. Interact and provide support activities to Account Managers (For UCD: Accounts Support Analysts are account managers for all small market clients. May also be involved with managing...

Company : Highmark Health Job Description : JOB SUMMARY This is a hybrid role if you live within a 50 mile radius of one of our office locations in PA, NY or DE This role is responsible for contributing to the product strategy and roadmap for a defined product area, by managing a team while working under the direction of leadership. This role focuses on deeply understanding customer needs, market trends, and competitive landscape to inform product development decisions. The incumbent works cross-functionally to manage a team that is executing a portfolio roadmap or portfolio of product roadmaps and delivering high-quality products that meet business objectives. They will manage the product backlog for a specific product or feature set. ESSENTIAL RESPONSIBILITIES Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance...

PagerDuty, Inc. (NYSE:PD) is a global leader in digital operations management. Trusted by nearly half of both the Fortune 500 and the Forbes AI 50, as well as approximately two-thirds of the Fortune 100, PagerDuty is essential for delivering always-on digital experiences to modern businesses. Join us. (https://careers.pagerduty.com/) At PagerDuty, you'll tackle complex problems, collaborate with kind and ambitious people, and help build a more equitable world-all in a flexible, award-winning workplace. We are seeking a seasoned and insightful people leader to establish and spearhead our Product Marketing Operations and Competitive Intelligence function, reporting directly to the VP, Product Marketing. In this pivotal role, you will lead a dedicated team, driving both major and minor product launches, cultivating robust competitive intelligence, and consistently reporting on progress across all initiatives. Specifically, evolve, establish and execute product marketing...

Become a part of our caring community and help us put health first The Business Systems Analysis Professional 2 will support the Payment Integrity Electronic Medical Record (EMR) Team in the onboarding, implementation, and maintenance of new EMR vendor connections, with a primary focus on Cerner and Integrated Delivery Network (IDN) projects. This position will serve as the main point of contact for Cerner provider integrations scheduled to begin going live in 2026, ensuring successful recruitment, performance monitoring, troubleshooting, and product testing. The Business Systems Analysis Professional 2 performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper system requirement specifications. The Business Systems Analysis Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Business Systems...

Become a part of our caring community and help us put health first The Business Informatics Shared Services (BISS) Team is focused on optimizing the execution, investments, strategy, application experience, project delivery, and governance between the corporate technology and business teams, primarily in support of enterprise Finance. The BISS team has extensive and broad enterprise data experience that is frequently engaged to support efforts outside of Finance. The Technology Implementation Professional gathers and documents business system and functional requirements. influences system design to optimize support and ensures solutions meet the business objectives and requirements. Completes and/or coordinates implementation of design and requirements. testing, operational readiness, and transition to the appropriate production support team. Advise executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent...