Regulatory Audit Jobs in Tennessee

Job Information Humana IT Exception Management Professional 2 in Brentwood Tennessee 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 Senior Compliance Professional- REMOTE (Anywhere in the US) in Columbia Tennessee Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..

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

... 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 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 Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Brentwood Tennessee Description We are looking for a talented risk and compliance expert to help build a best ..

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 ..

... 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 Brentwood Tennessee Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..

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 ..

... 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 Brentwood Tennessee Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..

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 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 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 ... and implement a plan to audit and monitor business processes to ... Professional will serve as the..

... 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..

... incidents. Verifies compliance with applicable regulatory requirements and drives problem resolution ... metrics Verify compliance with various regulatory requirements and drive problem resolution ... on applicable federal and state..

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