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Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Lancaster South Carolina Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
Description The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance Lead (SNP) ..
... contract requirements, provide research and regulatory interpretation, perform auditing and monitoring, ... will: Interpret and define Medicaid regulatory and contract requirements to be ... be used to evidence meeting..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Lancaster South Carolina Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; ..
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 Senior 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. The Senior Compliance ..
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., ..
Job Information Humana Compliance (UM) Coordinator 2 in Lancaster South Carolina Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and ..
Job Information Humana Compliance Nurse - Conviva - Remote, TX/FL/GA/LA/SC in Lancaster South Carolina Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life ..
Description CenterWell Senior Primary Care and Conviva, subsidiaries of Humana Inc., are primary care medical group practices with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, ..
... business requirements, provide research and regulatory interpretation, and advise internal business ... Professional will serve as the Regulatory Compliance subject matter expert for ... and apply laws, regulations, and..
Description The Supervisor, 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 Supervisor, Compliance ..
Job Information Humana Senior Compliance Professional- Medicare Sales and Marketing in Lancaster South Carolina Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve ..
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. ..