Become a part of our caring community and help us put health first The Compliance Nurse reviews case management and utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse to ensure appropriate course of action. The Compliance Nurse understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. The Compliance Nurse work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Position Responsibilities - Ensures mandatory reporting completed. - Complies, conducts, and summarizes compliance audits/reports to include deficiencies and risks. - Collects, review records, summarizes issues and analyzes data daily, weekly, monthly, or as needed to assess outcome and operational metrics for the team and individuals to determine appropriate course of action. - Audits CM medical records and operation for compliance. - Proficiency in analyzing, tracking, and interpreting data trends, operational guidelines and procedures are adhered to. - Ensures DMAS Cardinal Care Guidelines, NCQA, CMS, and Humana's Healthy Horizon's Policy and Procedures are followed. - This is a mainly a virtual position, however, it may require occasional travel for meetings or audits to ensure accreditation is met. - Ensures auditing is completed timely and communicated with leadership. - Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. - Other duties as assigned per CM or Quality leadership. Use your skills to make an impact Required Qualifications - Must reside in the Commonwealth of Virginia or within a 40-mile radius from Virginia in a bordering state/district (Washington DC, MD, WV, KY, TN & NC). - Bachelor's degree - Active Registered Nurse license in the state of Virginia, or obtain a multi-state license a bordering contiguous state that participates in the enhanced licensure, (eNLC) without disciplinary action - Minimum three, (3) years of experience in an MCO environment - 2 yrs previous audit experience - Minimum three, (3) years of nursing experience - Intermediate to Advanced knowledge using Microsoft Office Word, Excel, PowerPoint, navigating multiple systems and platforms and ability to troubleshoot and resolve basic technical difficulties in a remote environment - CMS, NCQA and DMAS guidelines - Ability to work independently under general instructions and with a team - Exceptional oral and written communication and interpersonal skills Preferred Qualifications - BSN - Health Plan experience working with large carriers - Previous Medicare/Medicaid experience - Previous experience in utilization management, case management, discharge planning and/or home health or rehab - Case Management experience Additional Information Workstyle: Remote work at Home Location: Virginia or reside within 40 miles of one of the following contiguous bordering states - Tennessee, West Virginia, North Carolina, Maryland, or Kentucky Schedule: Monday - Friday 8:00 AM to 5:00 PM Eastern Travel: 25% travel within the Commonwealth of Virginia for meetings or compliance assurance audits Work at Home/Remote Requirements To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

We begin with dreams. Dreams drive our motivation. Dreams are our future. The world's dreams, people's dreams, our dreams. Our passion creates ideas that make dreams come alive. Technology and products that were only dreams become reality. All for dreams. Dreams challenge and the Nidec-Group will continue to meet the challenge. For the world's and people's tomorrows; the world's first, the world's best technologies and products; we will continue our part in creating a better society. Job Summary Nidec is the world's No.1 comprehensive motor manufacturer handling "everything that spins and moves", miniature to gigantic. Nidec is a global enterprise comprised of over 300 subsidiaries/affiliates. We are a leading manufacturer of commercial motors, industrial motors, appliance motors, and controls. Our product line features a full line of high efficiency motors for industrial applications in water treatment, mining, oil and gas, and power generation, and for commercial applications such as pool and spa, condensers, cooling towers and large refrigeration units. From keeping us comfortable in our homes to pumping clean water to making our cars more safe, electric motors are an indispensable part of our daily lives. At Nidec, our employees are on the forefront of developing new motor technologies. As we move deeper into the age of robotics, the impact of motors will only increase. With over 140,000 employees stationed worldwide, Nidec continues to be a unique organization, and each location maintains its individual personality. Whether driving locomotives, powering offshore platforms or keeping the lights on after a storm, Nidec electric power generation products impact the world on a daily basis. With over 1,000 employees in the Americas, we are moving forward with technology to solve our customers’ electrical power needs for both prime and backup generation needs as the industry’s leading manufacturer. Job Description Shift: 1st Shift Days of Work: Monday - Friday Work Hours: 8:00am - 5:00pm Work Location: On-site (Mankato, MN) or REMOTE Starting Salary: $72,600 to $108,900 Annually Pay Frequency: Bi-Weekly At Nidec, we prioritize our team’s well-being and success. Our comprehensive benefits package is designed to support you both personally and professionally. These are the great benefits we offer, with additional perks and programs available to enhance your overall experience with us. - Competitive Compensation: Attractive salary with additional bonus opportunities. - Health and Wellness: Comprehensive medical, dental, and vision coverage, effective from your first day. - Retirement Savings: 401(k) plan with a best-in-class company match of 100% on the employee’s first 6% with an additional 3% employer contribution to support your financial future. - Work-Life Balance: Generous time off package, including PTO and holidays. - Education Assistance: Tuition reimbursement and continuous learning opportunities to support your professional growth. Position Objective: The Trade Compliance Specialist will play a crucial role in ensuring that our company adheres to all trade regulations and compliance standards, while optimizing duty savings and maintaining accurate records. This position will utilize strong expertise in Harmonized Tariff Schedule (HTS) classification and USMCA (United States-Mexico-Canada Agreement) qualification to effectively analyze and execute all relevant trade compliance activities. Responsibilities: - Determine and audit Harmonized Tariff Schedule and Schedule B classifications - Assists in conducting import compliance audits and review and implement corrective actions - Assist in developing, preparing, and providing periodic metrics and KPI reports for import and export operations - Analyze data from ACE reports for errors and anomalies. - Assist Accounting with gathering import duty costs, estimating import duty surcharges for customer invoicing, import duty cost analysis, and other tasks as necessary. - Respond to broker and forwarder requests for information to support imports and exports. - Conduct post-entry audits to verify compliance of import transactions, ensuring accurate declarations, identifying discrepancies and preparing corrective actions if necessary. - Analyze and verify product eligibility for USMCA; prepare and maintain documentation for USMCA certification and reporting. - Collaborate with cross-functional teams to ensure proper understanding and implementation of USMCA rules of origin. - Implement best practices to drive productivity and streamline opportunities. - Maintain accurate and organized records of all trade compliance activities and documentation. - Provide support related to country-of-origin determination. - Other duties as assigned Qualifications: - Bachelor’s degree in related field required. - 3-5 years of experience - Excellent analytical skills with keen attention to detail - Proficient in MS Office Suite. Additional Job Details CHECK US OUT ON YOUTUBE: http://acim.nidec.com/generators/kato-engineering/about-us/katocareers Equal Employment Opportunity and Affirmative Action at Nidec Nidec is an Equal Employment Opportunity (EEO) and Affirmative Action Employer encouraging diversity in the workplace. All qualified applicants receive consideration for employment without regard to their age, gender, gender identity, sexual orientation, race, color, genetic information, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by law. For more information regarding your (EEO) rights as an applicant, please visit the following website: http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf Work Shift Schedule First Shift (United States of America) No Soliciting Nidec will not accept unsolicited resumes from individual recruiters or third party recruiting agencies in response to Nidec job postings. No fee will be paid to third parties who submit unsolicited candidates directly to our hiring managers. Pre-approval from the Nidec Talent Acquisition team is required before any external candidate can be submitted and such candidate must be submitted to the Nidec Talent Acquisition team.

Become a part of our caring community and help us put health first The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and coding for services rendered is complete, compliant, and accurate to support optimal reimbursement. You will report to the Supervisor, Payment Integrity. As the Nurse Auditor 2 you will · Validate and interpret medical documentation to ensure capture of all relevant coding. · Apply clinical and coding experience to conduct reviews of provider codes and billing · focus on laboratory services and involve medical auditing of genetics, drug testing and infection agent testing claims that require interpretation and independent determination of the appropriate courses of action. · Reviews involve the review of Fraud Waste and abuse case determinations and require documentation and follow up regarding the result of these cases. Use your skills to make an impact Required Qualifications - Active RN license - Experience with outpatient CPT/HCPCS codes - Experience with review of medical records - 2+ years clinical experience - 3+ years' experience in the health industry Preferred Qualifications - Certified Professional Coder (CPC) - Familiar with lab or genetic testing - Fraud, Waste, and Abuse Investigative experience. - Clinical auditing experience - Bachelor's degree - Familiarity with CMS and Humana regulatory policies - Knowledge of general lab billing Additional Information WORK STYLE: Remote/work at home. WORK HOURS: Business hours are Monday-Friday, expected to work 8 hours/day, 5 days/week HireVue As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Work at Home To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. - Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. #LI-BB1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 03-31-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Join a specialized Special Investigations (SIU) referral and case enhancement team focused on identifying and mitigating healthcare fraud. In this role, you’ll use your investigative experience and data‑driven insights to assess suspected fraud referrals, uncover high‑risk billing patterns, and guide meaningful investigations that protect patients and reduce financial risk for clients and customers. Responsibilities: - Independently research, analyze, and assess suspected healthcare fraud referrals using investigative techniques and data analysis. - Identify high‑risk billing behaviors, fraud trends, and potential overpayments through detailed data review. - Evaluate referrals submitted to SIU and determine whether allegations warrant full investigation. - Deliver clear, well‑structured case assessments with actionable investigative recommendations. - Partner closely with investigators and field staff to develop leads and refine investigative strategies. - Use technology and analytics to support complex investigations and adapt investigative direction as new information emerges. - Monitor industry alerts, regulatory updates, and fraud bulletins to assess potential exposure. - Handle sensitive and confidential information with integrity and professionalism. Qualifications: Required - 3 + years of experience in healthcare insurance investigation, audit or relevant experience - Strong analytical, research, and problem‑solving skills - Clear and concise written and verbal communication skills - Proficiency with Microsoft Excel and Word Preferred: - Bachelor’s degree in Criminal Justice or related field - AHFI and/or CFE certification - CPT and ICD‑10 coding knowledge - Experience working with data analytics tools and investigative databases If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 68,300 - 113,900 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.