Regulatory Audit Jobs in South Carolina

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

... 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 Senior Compliance Professional- REMOTE (Anywhere in the US) in Lancaster South Carolina Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance ..

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

Job Information Humana Compliance Lead - Remote in Greenville South Carolina Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ..

... 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..

... 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..

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..

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. ..

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

Job Information Humana Compliance Lead - Remote in Lancaster South Carolina Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ..

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 ..

... 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..

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 ..

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..

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 Manager, Compliance - Agent Investigation Unit in Lancaster South Carolina Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; ..

Job Information Humana Senior Compliance Professional- Medicare Sales and Marketing in Lancaster South Carolina Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve ..

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..