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Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
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... Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... and quality performance and staffing management. Detailed Responsibilities include: Leads Medicaid ... Medicaid operational process and workforce..
... team members. Vendor and contract management Support vetting and onboarding new ... Frequently interact with Deloitte’s senior management, vendors’ executive management, sales management, and cross-functional teams to provide .....
Description The Senior Risk Management Professional identifies, analyzes, and works ... of risk. The Senior Risk Management Professional work assignments involve moderately ... looking for a Senior Risk Management Professional..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..
... security audit Ensure Humana Vulnerability Management meets all Enterprise and DoD ... NIST Guidance Team Building and Management Work with team members to ... experience 2 years of IT..
Job Information Humana IT Exception Management Professional 2 in Tampa Florida Description Are you a fit? Do you have a passion for being able to impact and influence the direction of ..
... Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... Previous experience in Quality, Disease Management, utilization management, case management, discharge planning and/or home health ... or..
Job Number: 493259 Work type: Full Time Permanent Location: Sydney (CBD) Categories: RIsk, Audit & Compliance Guild Insurance Group consists of Guild Insurance Limited (GIL), Meridian Lawyers, Gold Cross and supporting ..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
Description Humana is seeking an Associate Director, Quality Compliance Nursing that works with physicians/physician groups to ensure highest accountability of compliance and quality. The Associate Director, Quality Compliance Nursing requires a ..
Job Description The Compliance Center of Excellence (COE) is responsible for delivering the enterprise's risk-based Regulatory Reporting and Compliance Monitoring program. Compliance Monitoring teams assess compliance with specific company policies, regulatory ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Tampa Florida Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Tampa Florida Description We are looking for a talented risk and compliance expert to help build a best ..
