• Risk Adjustment Compliance Director

    Humana (Dover, DE)
    …of our caring community and help us put health first** The Risk Adjustment Compliance Director ensures compliance with governmental requirements. The Risk ... Adjustment Compliance Director requires an in-depth understanding of how organization capabilities...all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on… more
    Humana (03/11/25)
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  • Director , IT SOX Compliance

    Amentum (Dover, DE)
    …more than 53,000 employees in approximately 80 countries across all 7 continents. The ** Director of IT SOX Compliance ** is responsible for ensuring Amentum IT's ... it is kept current. + Collaborates with the Company's Director of Internal Controls & SOX Compliance ...without reasonable accommodation, or any other protected category under federal , state, or local law. Learn more about your… more
    Amentum (03/04/25)
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  • Physician Medical Director - LTSS

    Humana (Dover, DE)
    …us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical authorizations to determine the ... of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex to complex issues where the analysis of… more
    Humana (01/25/25)
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  • Medical Director - Medicaid N. Central

    Humana (Dover, DE)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (03/11/25)
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  • Medical Director - Mid West Region

    Humana (Dover, DE)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
    Humana (03/04/25)
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  • Human Resources Director

    SMX (Dover, DE)
    …unit and is responsible for employee engagement, employee relations, performance management, compliance , and HR program implementation. The HR Director will ... Human Resources Director (4180)at SMX(View all jobs) (https://www.smxtech.com/careers/) United States...contracts. This role will oversee HR strategies, processes, and compliance for a diverse workforce, including employees deployed worldwide… more
    SMX (03/12/25)
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  • Associate Director , Veterinarian Services

    Merck (Millsboro, DE)
    …program at our company's Millsboro Animal Health facilities. This role is highly compliance -driven in accordance with State and Federal regulations as applicable ... species including chickens, turkeys, dogs, cats, rabbits, and rodents. + Assure compliance with all federal and state regulatory requirements for animal… more
    Merck (02/06/25)
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  • Preschool Director

    Cadence Education (Odessa, DE)
    …experience at an early childhood facility with multiple classrooms and programs + Compliance with state licensing standards at a director level, including but ... Job Description Preschool Director Odessa, DE We're hiring immediately!Cadence Academy Preschool,...by providing and maintaining quality educational programs + Maintains compliance with accreditation and state licensing requirements as well… more
    Cadence Education (03/15/25)
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  • Center Medical Director (CMD)

    CSL Plasma (Dover, DE)
    …Food and Drug Administration and in such capacity provides medical oversight in compliance with applicable Federal and State regulations including the applicable ... as the primary center physician registered as the Laboratory Director with the Food and Drug Administration (FDA). **Job...sections of Title 21 of the Code of Federal Regulations and monitors medical compliance of… more
    CSL Plasma (01/13/25)
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  • Medical Director - National Medicare Team

    Humana (Dover, DE)
    …of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The ... Medical Director work assignments involve moderately complex to complex issues...authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. Supports the assigned work with respect to… more
    Humana (03/11/25)
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  • Global Operations Director , Portfolio…

    Cushman & Wakefield (Dover, DE)
    …identity, disability, protected veteran status or any other characteristic protected by state, federal , or local law. In compliance with the Americans with ... **Job Title** Global Operations Director , Portfolio Administration **Job Description Summary** Global Operations Director , Portfolio Administration Job Summary… more
    Cushman & Wakefield (01/07/25)
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  • Senior Director , Financial Modeling…

    Sallie Mae (Newark, DE)
    …future generations, for the future of education. **What You'll Contribute** The Senior Director will join a small and very talented team in the Finance organization. ... allowance and stress-testing activities to loan sales and securitization. The Senior Director will have the opportunity to manage established, but evolving processes… more
    Sallie Mae (03/04/25)
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  • Behavioral Health Medical Director

    Humana (Dover, DE)
    …community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...with all work occurring within a context of regulatory compliance and assisted by diverse resources, which may include… more
    Humana (02/15/25)
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  • Director of Finance/Controller

    Robert Half Finance & Accounting (Newark, DE)
    Description We are seeking a Director of Finance/Controller to join our team in Newark, Delaware. As the Director of Finance/Controller, you will oversee all ... aspects of our accounting operations, ensuring our financial reporting, tax compliance , and financial strategy align with our objectives. Responsibilities *… more
    Robert Half Finance & Accounting (03/11/25)
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  • Medicare Benefits Standards & Guidance Lead…

    CVS Health (Dover, DE)
    …the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance of the ... Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our...Medical Policy & Program Solutions (MPPS), Provider Network, and Compliance . This role is primarily responsible for the project… more
    CVS Health (03/14/25)
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  • Director Quality Assurance

    WuXi AppTec (Middletown, DE)
    …together, doing the right thing, and doing it right. The position will ensure compliance with all Company, local, state, and federal policies and procedures and ... team (including consultancy firms) responsible for the quality and compliance support during design, construction and qualification phases of...has the flexibility to be hired at either the Director or Senior Director level dependent upon… more
    WuXi AppTec (03/04/25)
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  • Field Medical Director , Cardiology

    Evolent (Dover, DE)
    …mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
    Evolent (02/14/25)
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  • Field Medical Director , Interventional…

    Evolent (Dover, DE)
    …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
    Evolent (01/30/25)
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  • Director Network Pharmacy - Aetna

    CVS Health (Dover, DE)
    …with retail and independent pharmacies, including intercompany arrangements. + Ensure network compliance with federal , state, and local regulations. + Develop ... make health care more personal, convenient and affordable. Aetna is seeking a Director of Network Pharmacy to lead Strategy and Performance management across all… more
    CVS Health (03/04/25)
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  • Director of Rating Tools Enablement

    Highmark Health (Dover, DE)
    …:** Highmark Health **Job Description :** **JOB SUMMARY** Highmark seeks a Director of Rating Tools Enablement to lead the design, development, and maintenance ... the use of best practices, adherence to security and compliance standards, and the selection of appropriate technologies for...includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well… more
    Highmark Health (03/15/25)
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