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Job Information Humana IT Exception Management Professional 2 in Bethesda Maryland Description Are you a fit? Do you have a passion for being able to impact and influence the direction of ..
... provide education to coders on audit results, utilize expertise to research ... provide coding education and evaluate audit results to recommend corrective actions. ... from medical records Clearly document..
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 Compliance Lead - Remote in Bethesda Maryland Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..
... UMMS executive management and the Audit and Compliance Committee of the ... data for reporting to the Audit and Compliance Committee of the ... and presentation. Healthcare compliance and..
Description This position is responsible for design, implementation, and ongoing maintenance of the IT Compliance Program. This includes both internal controls definition, interpretation, and adherence efforts as well as supporting our ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Bethesda Maryland Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..
Job Information Humana Compliance Lead - Remote in Baltimore Maryland Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..
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 ..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Bethesda Maryland Description We are looking for a talented risk and compliance expert to help build a best ..
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 ..
... 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..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) A little about us At Liberty Mutual, our purpose is ..
... 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- REMOTE (Anywhere in the US) in Baltimore Maryland Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..
What You Will Do: Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations ..
... procedures are in compliance with regulatory requirements. Coordinates compliance auditing and ... needed, for compliance with various regulatory guidelines. Collects data and updates ... compliance monitoring reports. For internal..
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 ..
... procedures are in compliance with regulatory requirements. Coordinates compliance and privacy ... needed, for compliance with various regulatory guidelines. Collects data and updates ... compliance monitoring reports. For internal..
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 ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Bethesda Maryland Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..