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Job Information Humana Medicaid Associate Director, Compliance Nursing in Las ... Las Vegas Nevada Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..
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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, ..
Description The Associate Director, Credentialing/Compliance manages the Dental ... state and federal regulations.. The Associate Director, Credentialing/compliance requires a solid ... and external vendors/associations. Responsibilities The Associate Director, manages a..
Job Information Humana Senior Compliance Professional-1 in Las Vegas Nevada Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex ..
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 ..
... improve the Humana processes and associate experience? As a Critical Inquiry ... made by business partners and Regulatory agencies. You will present and ... improve the Humana processes and..
Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. This role will focus on Humana's ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Las Vegas Nevada Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; ..
Job Information Humana Compliance Lead - Remote in Las Vegas Nevada Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ..
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 ..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Network and Credentialing ... issues, conduct research, and provide..
... 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..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Pharmacy Benefits and ... issues, conduct research, and provide..
Description The Director, IT Compliance audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
Description The Senior Compliance Professional will work with Humana Primary Care Organization's internal business partners to oversee and track compliance issues, trend data, prepare regular reporting, provide compliance support to PCO ..
... business requirements, provide research and regulatory interpretation, and advise internal business ... monitor performance; Interpret and define regulatory and contract requirements to be ... set of data relating to..
Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Las Vegas Nevada Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ..
Job Information Humana IT Exception Management Professional 2 in Las Vegas Nevada Description Are you a fit? Do you have a passion for being able to impact and influence the direction ..
Job Information Humana Compliance (UM) Coordinator 2 in Las Vegas Nevada Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and ..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Specialty lines of ... issues, conduct research, and provide..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Las Vegas Nevada Description We are looking for a talented risk and compliance expert to help build a ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Las Vegas Nevada Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance ..