Regulatory Associate Jobs in Puerto Rico

... complaints, conduct Internal Audits, approve Regulatory Corrective Actions and Preventive Actions ... readiness of the facility for Regulatory Inspection. Assists the Associate Director Compliance and Auditing during ... Director..

Job Information Humana Medicaid Associate Director, Compliance Nursing in San ... Juan Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..

Job Information Humana Senior Compliance Professional-Remote/Virtual in US in San Juan Puerto Rico Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..

Description The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. ..

... 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..

... 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..

... 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..

Job Information Humana Compliance (UM) Coordinator 2 in San Juan Puerto Rico Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities ..

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 ..

Description The Compliance Professional 2 ensures compliance with governmental requirements by reviewing existing policy and procedure and drafting new policies and procedures when necessary. The Compliance Professional 2 work assignments are ..

... 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..

Job Information Humana Manager, Compliance - Agent Investigation Unit in San Juan Puerto Rico Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and ..

Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in San Juan Puerto Rico Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior ..

... 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..

Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in San Juan Puerto Rico Description We are looking for a talented risk and compliance expert to help build ..