Jobs in the United States

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Added 3 mins ago
AT
Senior Technical Program Manager
Akamai Technologies, Inc.
Juneau, AK
- $119,600 to $215,400 USD / year
As a Senior Technical Program Manager, you will require technical understanding of AI/ML systems, exceptional organizational and program management skills, and proven experience leading…
Added 3 mins ago
Principal Portfolio Manager, Infrastructure Development
Meta
Juneau, AK
…approval, closing, and delivery readiness, and for building the program execution, governance, external partnership management, and cross-functional coordination needed to deliver billions…
Added 3 mins ago
Principal Aftermarket Technical Product Manager
GE Aerospace
Anchorage, AK
Ability to document, plan, market, and execute programs. Established project management skills.
Added 3 mins ago
Senior Proposal Manager
Maximus
Juneau, AK
Maximus is thrilled to announce an opportunity for a Senior Proposal Manager. The primary responsibility of this role is to lead cross‑functional proposal teams, including collaboration…
Added 3 mins ago
Product Structure Specialist - Anchorage, AK
NANA Regional Corporation
Anchorage, AK
Reviews engineering modifications, Management of Change documentation, project workpackages, and maintenance changes to determine required Product Structure updates.
Added 3 mins ago
Manager Strategic Risk Adjustment Programs
Highmark Health
Juneau, AK
This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries…
Added 3 mins ago
Environmental Program Leader – Hazardous Waste and Dangerous Goods Compliance
GE Aerospace
Anchorage, AK
The Environmental Program Leader – Hazardous Waste and Dangerous Goods Compliance will provide enterprise leadership, technical expertise, and continuous improvement across hazardous waste…
Added 3 mins ago
EG
Business Systems Analyst (BSA)
Eliassen Group
Juneau, AK
- $70 to $80 USD / hour
Our client is seeking a highly proactive and versatile Business Systems Analyst (BSA) to support senior leadership and cross-functional teams with strategic planning, portfolio operations,…
Added 6 mins ago
NS
GENERAL BUSINESS AND INDUSTRIAL SPECIALIST
Naval Sea Systems Command
Bath, ME
- $120,548 to $156,715 USD / year
…acquisition, construction, test, delivery, post-delivery, and related program activities. | You will establish project objectives, priorities, milestones, schedules, execution strategies,…
Added 9 mins ago
OB
Personnel Liaison Specialist
Offices, Boards and Divisions
Washington, DC
- $102,415 to $158,322 USD / year
With minimal direction provides program planning and project management support on HR issues.
Added 9 mins ago
FA
Program Manager (Business Analysis & Formulation)
Federal Aviation Administration
Washington, DC
- $150,392 to $228,000 USD / year
The Program Manager must have a thorough understanding of budget and administrative policies and procedures, as well as a comprehensive grasp of the objectives of AJV, the ATO, and the FAA.…
Added 11 mins ago
Sr Director - Advanced Therapies External Manufacturing
Lly Lebanon Adv Therapies
United States
High-quality skills to include: Teamwork and interpersonal, technical, leadership, project management, administrative, financial background, organizational, independent, decision making,…
Added 11 mins ago
Internal Communications, Sr. Program Manager
City of Hope
Irwindale, CA
The Senior Manager of Internal Communications is responsible for leading key internal communications strategies to inform, engage, and inspire employees while fostering a strong…
Added 12 mins ago
FA
Civil Engineer
Federal Aviation Administration
FAA Nationwide-Selectee Remains in Current Duty Location
- $95,489 to $148,037 USD / year
This position serves as a regional office senior Civil Engineer and lead project engineer for the Office of Airports (ARP), New York Airports District Office in the Eastern Region, in…
Added 12 mins ago
FA
Program Manager
Federal Aviation Administration
El Segundo, CA
- $130,314 to $202,026 USD / year
Individual and organizational performance is typically reviewed periodically by higher level management, usually through status reports and organizational performance measures. Incumbent…
Added 13 mins ago
F/A-18 & EA-18G Senior Project Manager
The Boeing Company
Berkeley, MO
Program management best practices, project management skills, strong communication skills, and constructive engagement with all stakeholders (internal partners, suppliers, and customers)…
Added 19 mins ago
AN
General Supply Specialist (Title 32)(Permanent)
Army National Guard Units
Sandston, VA
- $64,475 to $83,822 USD / year
…analyzing and providing substantive evaluation of data affecting program operations; developing reports and briefings outlining study findings and recommendations; preparing and…
Added 19 mins ago
AN
IT Specialist (Network) (Title 32) (Permanent)
Air National Guard Units
Langley AFB, VA
- $75,788 to $98,530 USD / year
…needed and makes detailed technical recommendations to the senior system specialist. Develops test procedures and participates in progress reviews with operating officials, system…
Added 22 mins ago
J
Vice President, Cloud Platform Engineer
Jobgether
Remote, United States
- $150,000 to $175,000 USD / year
Potential eligibility for a discretionary bonus, subject to program guidelines, position eligibility, and management approval.
Added 22 mins ago
J
Senior GIS Project Manager
Jobgether
Remote, United States
- $93,000 to $115,000 USD / year
The Senior GIS Project Manager will oversee the planning, coordination, and delivery of complex technology and data-focused projects, with an emphasis on GIS and related technical…
Added 22 mins ago
UA
General Attorney
U.S. Army Corps of Engineers
Fort Worth, TX
- $97,307 to $150,426 USD / year
…contracts and fiscal law, civilian personnel and employment, labor-management relations, civil works project authorities, litigation, general administrative law, environmental law,…
Added 22 mins ago
VB
Management and Program Analyst
Veterans Benefits Administration
Salt Lake City, UT · Washington, DC · Indianapolis, IN · Philadelphia, PA · Saint Paul, MN
- $63,795 to $118,204 USD / year
Prepares PowerPoint and similar material and gives oral presentations to various audiences within P&F Service, VBA senior management, department level executives and outside agencies.
Added 27 mins ago
FT
General Engineer - Direct Hire - SME - BIL
Federal Transit Administration
Chicago, IL
- $83,482 to $158,322 USD / year
…the Federal Transit Administration’s (FTA) Region 5 Office of Program Management and Project…
Added 27 mins ago
VH
Acquisition & Utilization Specialist
Veterans Health Administration
McClellan, CA
- $68,419 to $107,620 USD / year
…services, product acquisition and support services required by project managers, program managers, upper management, and stakeholders on all aspects of procurement for a wide variety of…
Added 27 mins ago
AM
GENERAL ENGINEER
Air Mobility Command
Scott AFB, IL
- $128,967 to $167,663 USD / year
The primary purpose of this position is to serve as the AMC Program Manager reporting directly to the Air Mobility Command Chief of Staff (General Officer) for renovation of facilities and…

CareFirst

Senior Embedded Compliance Analyst - (Remote)

Baltimore, MD, United States

Salary Range: $70,200 - $139,425

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Job details

Pay: Salary Range: $70,200 - $139,425
Education: Bachelor’s degree
Experience: Experience: 5 years experience in health insurance industry, managed care and government programs, health insurance compliance programs, or related fields.
Posting language: English
Posted: Nov 4, 2026

Original job description

Resp & Qualifications

PURPOSE:

The Senior Embedded Compliance Analyst will support Corporate Compliance and its defined Compliance Program by performing compliance activities for Medicare Advantage. This position involves ensuring implementation and maintenance of the annual Compliance Workplan for Medicare Advantage while providing review and analysis of regulatory rules / guidelines, monitoring the organization's compliance performance, tracking Key Performance Indicators (KPIs)/Key Risk Indicators (KRIs), and supporting Program Integrity and Fraud, Waste, and Abuse (FWA) efforts. The Analyst will also help to monitor corrective action plans, established to address identified compliance issues, and perform post-evaluation procedures for compliance implementation and remediation activities.

ESSENTIAL FUNCTIONS:

Monitors compliance performance based on a Compliance Risk Assessment to provide compliance oversight for MEDICARE ADVANTAGE .Review, analyze, and distribute regulatory rules / guidelines / contractual requirements to educate impacted CareFirst business areas and delegated entities. Identify and track required actions as the result of regulatory rules / guidelines / contractual requirements. Track and assess Key Performance and Key Risk Indicators (KPI / KRIs).Identify compliance risks by gathering, reviewing, and analyzing organizational data for downward trends or instances of non-compliance or potential non-compliance.
Collaborate with business owners within MEDICARE ADVANTAGE to establish and monitor action plans to address remediation of compliance risks.Help ensure that a root cause analysis is performed to address underlying issues when an action plan is needed. Follow up with stakeholders to help ensure remediation efforts are on track, successful, and validate that action plans have been implemented correctly. Regularly monitor CAP implementation and communicate and report risks associated with identified control deficiencies to stakeholders. Provide reporting to the Compliance leadership, documenting CAP results and escalating risks and issues related to identification, implementation, and remediation.
Assist with the performance of post implementation procedures to validate performance of compliance requirements resulting from mandates, regulatory and contractual changes, systems, or partner implementations for MEDICARE ADVANTAGE .
Perform investigations, research, and due diligence to address compliance incidents, events, research, inquiries, and concerns from leadership for MEDICARE ADVANTAGE . Perform assessments to identify compliance risks preceding or in parallel to compliance incidents, events, company initiatives, Provide professionally written and audit-appropriate responses to the originating party, ensuring questions are answered and customer needs are effectively served within designated time frames while respecting the privacy needs of members.
Collaborate with Corporate Ethics & Compliance on Code of Conduct and Third-Party Code of Conduct to ensure compliance.Support and drive the continued to maturity of CareFirst compliance through on-going education, development of compliance tools, compliance initiatives, and collaboration with other compliance risk functions (e.g., Internal Audit, Executive Inquiry, Privacy) to respond to compliance incidents, gaps, and identified risks. Supports the development, implementation, and maintenance of written policies and procedures. for MEDICARE ADVANTAGE . Collaborate and contribute to standards of conduct.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Business Administration, Healthcare Compliance or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses/Certifications Preferred:

CHC - Certified Healthcare Compliance or
CRCMP - Certified Risk And Compliance Professional or
Lean Six Sigma Certification-IASSC or
Certified Regulation Analyst or
Certified Compliance & Ethics Professional (CCEP)

Experience: 5 years experience in health insurance industry, managed care and government programs, health insurance compliance programs, or related fields.

Preferred Qualifications:

Healthcare Compliance certification(s).
Experience in CMS programs (Medicare or Medicaid, project management, business process analysis, workflow, and task analysis.
Process Improvement Systems training in Six Sigma, Lean, or other Business Process Improvement tools.

Knowledge, Skills and Abilities (KSAs)

Excellent interpersonal skills with ability to build consensus and agreement and bring resolution to contentious issues and entrenched interests.
Ability to present and discuss regulatory compliance goals in a way that establishes rapport, persuades others, and gains commitment.
Ability to research complex issues, interpret regulations and regulatory rules/guidance, and exhibit sound judgment in determining a recommendation or solution to a problem.
Word, Advanced Excel and database management and related software applications.
Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Travel Requirements

Estimate Amount: 5% Travel to CareFirst locations or training may be necessary.

Salary Range: $70,200 - $139,425

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Medicare Compliance Office

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

REQNUMBER: 22745

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