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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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Description The Compliance Manager ensures compliance with governmental requirements. The Compliance Manager works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance Manager develops and ..
... Location: Sydney (CBD) Categories: RIsk, Audit & Compliance Guild Insurance Group ... GIL in ensuring compliance with regulatory requirements relevant to maintaining GIL’s ... preparing the business for upcoming..
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 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 ..
... trends. Conduce quality assurance on regulatory filings Contribute to streamlining current ... ideal candidate will have some regulatory compliance experience working for an ... working for an exchange, a..
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 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 ..
... compliance requirements, provide research and regulatory interpretation, and advise the internal ... the organization. Interpret and define regulatory and contract requirements to be ... creating annual work plans to..
... are centrally documented in the Regulatory Repository Coordinate and compose time ... time sensitive responses to incoming regulatory inquiries and issues reflective of ... reports, prior to submission to..
Job Information Humana Senior Compliance Professional- Medicare Sales and Marketing in Miramar Florida Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
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 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 ..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... a plan to monitor and audit business processes to prevent, detect, ... and apply laws, regulations, and..
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 ..
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 ..
