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... are described here: The Specialist/Manager Regulatory Operations contributes to the strategic planning ... strategic planning and preparation of regulatory submissions and supports the formatting, ... organization, and structuring of..
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 ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Jersey City New Jersey Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..
Job Information Humana Compliance Lead - Remote in Jersey City New Jersey Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Jersey City New Jersey Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
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 ..
Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Jersey City New Jersey Description Do you crave new challenges and solving problems? Are you looking for an ..
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 ..
... 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..
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 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 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 ..
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 Manager, Compliance - Agent Investigation Unit in Jersey City New Jersey Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines 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..
... business requirements, provide research and regulatory interpretation, and advise internal business ... Professional will serve as the Regulatory Compliance subject matter expert for ... and apply laws, regulations, and..
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 ..
