Regulatory Audit Jobs

Job Information Humana Medicaid Associate Director, Compliance Nursing in Salem Oregon Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and Compliance team ensuring that dental providers are Credentialed/Re-credentialed according to CMS and State guidelines and that Humana's Dental Networks operate in ..

Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..

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 ..

... business requirements, provide research and regulatory interpretation, and advise internal business ... a plan to monitor and audit business processes to prevent, detect, ... changes that assure compliance with..

... 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..

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 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 Compliance Lead - Remote in Salem Oregon Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..

Description The Supply Chain Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA (Drug Supply Chain Security Act) compliance related tasks in support of Humana's Pharmacy inventory receiving operations. ..

... 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 Manager, Compliance - Agent Investigation Unit in Salem Oregon Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..

... business requirements, provide research and regulatory interpretation, and advise internal business ... and implement a plan to audit and monitor business processes to ... Professional will serve as the..

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

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 ..

... 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 Compliance Professional-Remote/Virtual in US in Salem Oregon Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..

Description Humana is seeking a Software Entitlement and Compliance Specialist who will be accountable for partnering with specific business areas to support both hardware and software asset management processes including full ..

Job Information Humana IT Exception Management Professional 2 in Salem Oregon Description Are you a fit? Do you have a passion for being able to impact and influence the direction of ..

Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Salem Oregon 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. Responsibilities The Compliance Lead develops and ..

... 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..

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 ..