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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 ... Director Compliance and Auditing during..
Job Information Humana Medicaid Associate Director, Compliance Nursing in San Juan Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..
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 ..
Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in San Juan Puerto Rico Description Do you crave new challenges and solving problems? Are you looking for an ..
... business requirements, provide research and regulatory interpretation, and advise internal business ... and apply laws, regulations, and regulatory guidance as applicable for pharmacy ... be used to evidence meeting..
... business requirements, provide research and regulatory interpretation, and advise internal business ... to Humana's Medicaid business partner operations areas and to recommend changes ... changes that assure compliance with..
... 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..
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..
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. ..
... 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..
