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... complaints, conduct Internal Audits, approve Regulatory Corrective Actions and Preventive Actions ... readiness of the facility for Regulatory Inspection. Assists the Associate Director Compliance and Auditing during ... Director..
Job Information Humana Medicaid Associate Director, Compliance Nursing in San ... Juan Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in San Juan Puerto Rico Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in San Juan Puerto Rico Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and ..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... compliance reviews of business partner operations. Monitors metrics and other oversight ... and apply laws, regulations, and..
... business requirements, provide research and regulatory interpretation, and advise internal business ... and monitoring of Medicaid business operations to ensure full compliance and ... monitor performance; Interpret and define..
... improve the Humana processes and associate experience? As a Critical Inquiry ... made by business partners and Regulatory agencies. You will present and ... improve the Humana processes and..
... contract requirements, provide research and regulatory interpretation, perform auditing and monitoring, ... will: Interpret and define Medicaid regulatory and contract requirements to be ... and monitoring of Medicaid business..