THE LARGEST COLLECTION OF COMPLIANCE JOBS ON EARTH
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... applicability of laws, regulations, and regulatory guidance for Commercial and Provider ... 5 years of experience in regulatory quality assurance and analytics (or ... skills Demonstrated ability to analyze..
Description The Compliance Professional 2 (CP2) develops and implements compliance policies and procedures, researches compliance issues and recommends changes that ensure Humana is compliant with contractual obligations with a focus on ..
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 ..
Description The Senior Compliance Professional will work with Humana Primary Care Organization's internal business partners to oversee and track compliance issues, trend data, prepare regular reporting, provide compliance support to PCO ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Louisville Kentucky Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..
Description The Manager, Compliance - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works within specific guidelines and procedures; applies advanced technical knowledge to ..
Description The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. ..
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 The Manager, 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 Manager, Compliance ..
Description The Compliance (UM) Professional 1 conducts and summarizes compliance audits. The Compliance (UM) Professional 1 work assignments are often straightforward and of moderate complexity. Nursing License is not required. Responsibilities ..
Job Information Humana Senior Compliance Professional - Medicaid State Reporting in Louisville Kentucky Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
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 ..
Our company: Congo Brands is at the epicenter of where consumer demand meets product development. Through brand partnerships with lead influencers, we are afforded an inside look at what consumers truly ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Louisville Kentucky Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Louisville Kentucky Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Job Information Humana Associate Director of Compliance - Agent Investigation Unit in Louisville Kentucky Description The Associate Director, Compliance ensures compliance with governmental requirements. The Associate Director, Compliance requires a solid ..
Description The Director, Business Intelligence solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Director, Business Intelligence requires an in-depth understanding ..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one Quality and Compliance Manager Louisville, KY $750 SIGN-ON BONUS! Job Type Full-time Description Are you ..
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 Humana Healthy Horizons is hiring ..
Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Louisville Kentucky Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..