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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..
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... 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 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., ..
The GRC Technical Analyst, will be responsible for IT risk management and compliance data analytics and reporting for GE’s Enterprise control environment. This role is an individual contributor reporting to the ..
... represents the Compliance and Risk Management Department in multi-departmental initiatives. This ... data analytics for internal senior management, or regulatory agencies as required. ... represent the Compliance and Risk..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Atlanta Georgia Description We are looking for a talented risk and compliance expert to help build a best ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Atlanta Georgia Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
... lead the design, development, and management of the firms’ IT third ... firms’ IT third party risk management program. The position will consist ... discrepancies and provides recommendations to..
... 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 Information Humana Senior Compliance Professional, Specialty Compliance in Atlanta Georgia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involving moderately complex to ..
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 ..
... 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 Atlanta Georgia Description Are you a fit? Do you have a passion for being able to impact and influence the direction of ..
The Senior Risk and Compliance Analyst, will be responsible for IT risk management and compliance tasks for new and existing GE Enterprise products and processes. This role is an individual contributor ..
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..
... and other related regulations. Advise management on regulatory changes and help ... compliance risks and work with management to resolve them proactively. Lead ... regulations. Process Improvement & Risk..
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 ..
Description The Manager, Compliance - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works within specific guidelines and procedures; applies advanced technical knowledge to ..
... prepare regular metrics and case management reports for ADP Management (Legal / GSO Fraud, Sales..) ... • Support the enterprise risk management activities for GMM&C • Perform ... leaders...
... ensure the effective leadership and management of the Implementation processes of ... strong facilitative leadership skills, change management, business/finance, process analysis, and project ... business/finance, process analysis, and project..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
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. ..
