47 director network compliance jobs found

Company : Highmark Inc. Job Description : JOB SUMMARY This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This includes the writing of clinical criteria based on research, engagement of clinical and non-clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding based off policy criteria falls within their scope. In addition to developing new policies, the incumbent ensures all existing medical policies, in their scope, are in accordance with NCQA and/or CMS requirements. The incumbent may be required to address escalated inquiries brought forward by internal/external partners. Conducts peer reviews as part of the quality review process. In addition to policy ownership, the...

Work at Home - Decision Quality and Controls, Principal Process Manager Decision Quality and Controls is the face of Monitoring and Controls for Customer Protection. We take Quality monitoring to the next level by designing controls that are criteria based targeting key failure modes and testable meeting Enterprise Standards. We are looking for a process engineer with expertise in Data and Reporting that will fast track us into automation. In this role you will partner with key stakeholders across Retail Bank Fraud to automate and enhance dashboards, processes and reporting and craft compelling stories backed by data. What We're Looking For In This Role: Drive forward strategy for execution of controls support including process assessments and enhancements, make recommendations and influence change Leads, influences, and mentors associates within a dotted line team through large and/or complex process or projects with significant impact, delegating and...

Become a part of our caring community and help us put health first Humana's Marketing organization is seeking an Associate Director, Product Marketing to lead the go-to-market, positioning, and member-focused campaigns for our Medicaid lines of business. You will craft the product value proposition, align messaging to state program objectives, and lead cross-functional teams to deliver integrated, multi-channel experiences that drive measurable outcomes for members and the enterprise. Key Responsibilities Develop and own product marketing strategies and go-to-market plans for Medicaid products across states, including positioning, value propositions, and messaging frameworks. Lead end-to-end campaign delivery (email, direct mail, SMS, app, web, call center/IVR) from creative concept through execution, measurement, and optimization. Translate business goals into data-driven content and personalization strategies; partner with data science to define Next...

Job Description Oracle's Global Physical Security (GPS) Systems Team is responsible for securing the corporation's global datacenter and facility footprint through advanced Physical Access and Identity Management (PIAM) technologies. We are seeking a seasoned Technical Program Manager (TPM) for Wireless Intrusion Detection Systems (WIDS) who will own the end-to-end lifecycle of enterprise wireless detection, monitoring, and counter-surveillance solutions for a complex and global security environment. Reporting to the Director, Physical Security Products & Services, you will lead the technical roadmap, policies, education, and integrations necessary for WIDS excellence-partnering closely with security operations, engineering, data center operations, and end-user groups. Responsibilities Product & Program Ownership Own the lifecycle management, standards, and feature evolution for all Wireless Intrusion Detection Systems (WIDS), including integration with...

Description Position: Associate Extension Agent Position Title: Associate Director for Strategic Communications and Engagement Position Number: 0085866T Department: University of Hawai‘i School of Ocean and Earth Science and Technology Sea Grant College Program Geographic Location: O‘ahu, Hawai‘i Date Posted: December 18, 2025 Closing Date: January 5, 2026 Monthly Type: 11 Month Tenure Track: Non Tenure Full Time/Part Time: Full Time (100% FTE) Temporary/Permanent: Temporary Other Conditions: Renewal contingent upon availability of funds and satisfactory performance of duties. The Associate Director for Strategic Communications and Engagement serves within the director’s office as a faculty member of the University of Hawai'i Sea Grant College Program and provides program-wide leadership for strategic communications, public engagement, and storytelling. This position is the lead for all Hawai'i Sea Grant communications, ensuring that...

The Associate Director of Global Supplier Quality will be responsible for the execution of supplier quality audit and monitoring across the company's global network of contract manufacturing organizations (CMOs). This role supports the qualification, monitoring, and compliance of external manufacturing partners to ensure the quality and reliability of pharmaceutical products, including small molecules and biologics. Job Description Supplier Quality Execution Support the qualification and ongoing monitoring of CMOs and critical suppliers. Execute supplier audits and ensure timely follow-up and resolution of findings. Maintain and update quality agreements in collaboration with internal stakeholders. Conduct risk assessments and support mitigation plans for supplier-related quality issues. Compliance & Documentation Ensure supplier compliance with global regulatory requirements (e.g., FDA, EMA, ICH). Prepare...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Ethics and Compliance Investigations Operations Specialist - Assistant Director At EY, you'll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture, and technology to become the best version of you. And we're counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. EY focuses on high ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities. The opportunity The Ethics and Compliance Investigations Team (ECIT) is a high-performing, centralized team under Ethics, Compliance, and Risk...

LOCATION : KONA COMMUNITY HOSPITAL | Admitting POSITION STATUS : 1.00 | Permanent SALARY RANGE : BU03 | SR17 SALARY RATE: $54,756 (Annual Salary) based on the Full Time Employment SHORTAGE DIFFERENTIAL : $692/month JOB DUTIES : I. MAJOR DUTIES & RESPONSIBILITIES A. PATIENT ACCESS DUTIES This position acts as the Lead Patient Access Representative: 1. Ensures outpatient admissions are completed, insurance verified, and pre-authorizations obtained; regulated consents are signed before scheduled treatment. 2. Communicates daily with patients and insurance companies to validate information, including demographic, insurance, secondary insurance, financial, and other pertinent data. 3. Generates orders, referrals, and sends to appropriate outside providers per oncologist orders. 4. Obtains insurance verifications of benefits and eligibility. 5. Ensures patients are aware of third-party payer requirements 6. Discuss and determine...

Summary This position is being recruited under 10 USC 1599f into the Cyber Excepted Service and does NOT convey eligibility to be converted to the Competitive Service. It has been identified as a position necessary to carry out and support the mission of the US Cyber Command. It is in the Professional Work Category at the Senior Work Level within the CES Occupational Structure. It is located in the DISA - OC/PACIFIC. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency Open to all U.S. Citizens. Duties Provide expert technical guidance and direction across all aspects of telecommunications infrastructure, including network management, service provisioning, transmission systems. Reviews correspondence for compliance with agency correspondence directives and initiate applications, information assurance, and transport, voice, data, and video...

Programmer 2 Location HI - Kaua'i Job Code 13607 of openings 1 Apply Now (https://phg.tbe.taleo.net/phg04/ats/careers/v2/applyRequisition?org=AKIMEKATECH&cws=43&rid=13607) The Alaka`ina Foundation Family of Companies (FOCs) is looking for a Programmer 2 - Range Network to support our government customer located in Kekaha, Hawai'i. The Programmer is responsible for the development, enhancement, effective deployment and support of applications in the Management Information System (MIS) and other connected systems at PMRF. This position will interface with key stakeholders and conduct development activities in accordance with the software development lifecycle and defined change control and compliance procedures. This position will research system problems, coordinate vendor support, perform upgrades and integration of applications, provide support for the expansion capabilities, conduct report development using tools and applications, support for issues...

Regional Planner - Colorado Job ID 253358 Posted 18-Dec-2025 Service line GWS Segment Role type Full-time Areas of Interest Building Management, Engineering/Maintenance, Facilities Management, Project Management Location(s) Aurora - Colorado - United States of America, Centennial - Colorado - United States of America, Colorado Springs - Colorado - United States of America, Remote - US - Remote - US - United States of America *This position services multiple sites in the Colorado area, and travel may be required. * CBRE is an equal opportunity employer that values diversity. At CBRE Global Workplace Solutions (GWS) , Safety is our top priority! We maintain a safety-first culture in which CBRE employees return home in the same condition in which they reported to work. We're looking for a skilled and forward-thinking Maintenance Planner to join our growing team as we work to service one of the world's largest online retailers. We offer competitive pay,...

Description Title: Solutions Architect Position Number: 0078418 Hiring Unit: VP for Administration, Office of Systems Integration Location: Manoa Campus Date Posted: December 23, 2025 Closing Date: January 08, 2026 Salary: Salary schedules and placement information Additional Salary Information :PBB, minimum $5,434/month Full Time/Part Time: Full Time Temporary/Permanent: Permanent Funding: Special Other Considerations: This position requires in person work. Duties and Responsibilities: Assess, design, develop, and implement solutions to meet business requirements and adhere to industry best practices for application and database services and support. Create comprehensive architectural designs, blueprints, and documentation for software and systems Evaluates project constraints to identify alternatives, mitigate risks, and re-engineer processes Create, maintain, and enhance procedures, processes, and designs for software and systems...

Become a part of our caring community and help us put health first Encounter Data Management Professional is responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by applying professional standards, regulations, and strategies within their work area. Independently sets priorities and makes decisions on work approach while following established direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data Management Professional that has experience with business processing and data...

Systems Administration (Virtualization Management, Storage Area Network, Backups) Location HI - Honolulu Job Code 13588 of openings 1 Apply Now (https://phg.tbe.taleo.net/phg04/ats/careers/v2/applyRequisition?org=AKIMEKATECH&cws=43&rid=13588) The Alaka`ina Foundation Family of Companies (FOCs) is looking for a?Systems Administrator (Virtualization Management, Storage Area Network, Backups)?to support our government customer at Fort Shafter, in Honolulu, Hawai'i. DESCRIPTION OF RESPONSIBILITIES: Provide enterprise storage and data protection/recovery services. Centrally operate, maintain, secure, and administer related equipment/solutions/tools on multiple enclaves located in remote datacenters across customer network. Manage capacity and performance in accordance with required service levels, leveraging clustered, high availability configurations. Manage user access controls to storage resources, such as user credentials, Storage Area...

Job Description Oracle Health Data Intelligence (HDI) is entering a critical phase of regulatory and security modernization across our global health analytics and AI-enabled population health platform. As HDI accelerates readiness for MDR (Medical Device Regulation), AI regulatory requirements, and emerging global security standards, we are expanding our Security Architecture team with specialists who bring deep technical expertise, cloud security experience, and strong regulatory awareness. We are hiring Security Architecture Specialists who can design, review, and validate secure architectures across cloud-native healthcare systems, AI/ML pipelines, and distributed data platforms. This role is ideal for someone with experience performing CSSAP-style reviews , cloud security assessments, threat modeling, and providing technical guidance that aligns engineering execution with security and regulatory expectations. You will play a key role in ensuring that HDI's...

Summary: Meta is a global leader in terrestrial and subsea network investment. Meta is continuously expanding our network infrastructure around the Globe to support our data centers, our fast growing user community and the new and innovative products that we are making available for our users. Developing, operating and managing network infrastructure the "right" way is synonymous with ensuring on-time delivery, high uptime, capacity availability, flexibility and capital cost efficiency in a safe and compliant working environment. Meta is seeking an environmental compliance program manager to manage environmental due diligence, permitting, and compliance for our fiber optic cable infrastructure portfolio. This position will primarily support the NORAM region to oversee and mitigate environmental risks for terrestrial network projects and coordinate with cross-functional teams, including network investments, construction and operational teams, legal, policy and communications....

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...

Regional Planner - CBRE Job ID 251773 Posted 09-Dec-2025 Service line GWS Segment Role type Full-time Areas of Interest Building Management, Engineering/Maintenance, Facilities Management, Project Management Location(s) Blue Springs - Missouri - United States of America, Lenexa - Kansas - United States of America, Memphis - Tennessee - United States of America, Remote - US - Remote - US - United States of America, Riverside - Missouri - United States of America, Shawnee - Kansas - United States of America *This is a remote position servicing multiple sites; travel will be required. * CBRE is an equal opportunity employer that values diversity. At CBRE Global Workplace Solutions (GWS) , Safety is our top priority! We maintain a safety-first culture in which CBRE employees return home in the same condition in which they reported to work. We're looking for a skilled and forward-thinking Maintenance Planner to join our growing team as we work to service...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Tax - Global Compliance and Reporting - Banking and Capital Markets EDGE - Financial Services Organization - Senior Analyst The opportunity EY is a leader in serving the global financial services marketplace and the only professional services firm with a separate business unit dedicated to the financial services industry - the Financial Services Organization (FSO). Our focused model and bold ambition have put us at the center of the events that continue to reshape and redefine our industry, working side by side with a range of clients from our most venerable institutions to dynamic new entrants across Banking and Capital Markets, Wealth and Asset Management, Insurance, and Real Estate, Hospitality and...

Job Summary Responsible for working with cross-functional teams across the organization to drive and align the development and maintenance of global labeling (e.g. CCDS, regional product labels, and patient labeling) for assigned compounds. Makes recommendations and provides labeling advice and feedback for labeling content, processes, and timelines to ensure compliance with labeling regulations and guidance. Delivers high-quality submission labeling and artwork for complex drug products, specific therapeutic/disease areas, and cross functional teams. Actively contributes to continuous improvement of end-to-end labeling processes and systems. Job Description Act as Global Labeling Strategy Lead, supporting preparation, review, and update of content for the development and maintenance of Company Core Data Sheet (CCDS), local labeling and labeling components. Lead the cross-functional labeling team for assigned compounds to drive alignment of labeling content...

Job Description It is an exciting time to be a part of the Oracle Cloud Development organization. As we continue to rapidly introduce new products and enhancements, we are focused on delivering AI capabilities that will help customers automate and transform their business processes. We recently launched an AI Agent Marketplace where trusted, validated AI Agent templates from our global network of certified partners are embedded into Fusion AI Agent Studio alongside Oracle pre-built AI Agent templates. As we continue to grow the Marketplace, we are looking for a strategic, execution-focused program manager to help drive the operational and program management foundation of this platform. This role will ensure the marketplace runs smoothly, scales responsibly, and delivers an exceptional experience for customers and Marketplace partners. You will design processes, manage cross-functional communication, and drive operational excellence across internal and external stakeholder...

Database Administrator (SQL/Linux) Location HI - Honolulu Job Code 13583 of openings 1 Apply Now (https://phg.tbe.taleo.net/phg04/ats/careers/v2/applyRequisition?org=AKIMEKATECH&cws=43&rid=13583) The Alaka`ina Foundation Family of Companies (FOCs) is looking for a qualified Database Administrator, Structured Query Language (SQL) and Linux to support our government customer located in at Fort Shafter, Hawai'i. The SQL Database Administrator will be part of a dynamic team of IT Enterprise Managers, with expert experience in Windows, MECM, Enterprise Patching, PKI/Certificates, Cloud, and scripting experience. In this role you will work at the enterprise level across endpoint management and server operations teams to ensure adherence to customer SLAs while also driving automation through scripting and testing of new/emerging technologies to deliver faster deployments and decreased workload. DESCRIPTION OF RESPONSIBILITIES: Demonstrated hands on...

Job Description Team Overview The Data Center Infrastructure Delivery team at Oracle Cloud Infrastructure is a dynamic group of professionals dedicated to delivering state-of-the-art data center facilities at scale and at pace. This team comprises experienced project managers who work collaboratively with vendors and internal teams to ensure the successful execution of complex data center construction and network projects. They bring a wealth of expertise in project management, technical design, and on-site construction, ensuring that our data centers meet the highest standards of quality, efficiency, and sustainability. This team plays a crucial role in supporting Oracle Cloud Infrastructure's data needs and driving our growth and success. Job Summary Strategically, you will be responsible for developing and implementing comprehensive plans that optimize efficiency, cost-effectiveness, and operational excellence in delivery. You will engage with key stakeholders,...

Job Description Do you have a passion for high scale services and working with some of Oracle's most critical customers? We are seeking an experienced, passionate, and talented Vice President of Platform Resilience who has genuine excitement for and interest in areas such as supply chain security and countering nation state actors with responsibilities ranging from direct government interfacing to securing operations and operational security of teams. You will lead multiple teams to address these multi-dimensional topics. You must relish the challenge of dealing with potentially unsolvable problems and how to transform uncertainty into strategy that is defensible at different levels (including government and executives). You will help grow your team members to achieve outstanding results. Creativity is highly valued; being able to find alternative paths and dealing with fluid constrains is a must. Who We Are We are a world-class team of high caliber security...