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Description This role is on the Humana At Home Special Needs Plan Compliance Review team within Home Solutions Compliance and Risk Management. The Quality Assurance Professional 2 performs audits to establish ..
Description The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance Lead (SNP) ..
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 ..
What You Will Do: Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations ..
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 ..
... procedures are in compliance with regulatory requirements. Coordinates compliance and privacy ... needed, for compliance with various regulatory guidelines. Collects data and updates ... with a background in healthcare..
... We’re Looking For: The Compliance Specialist will complete key administrative, operational, ... initiatives and projects. The Compliance Specialist will help guide internal teams ... higher education, public administration, public..
... Interest Standards, Billing & Coding, policy development and healthcare regulations. Compliance ... resolving incidents according to organizational policy timeframes. Develops Compliance Hotline statistical ... and presentation. Healthcare compliance and..
... procedures are in compliance with regulatory requirements. Coordinates compliance auditing and ... needed, for compliance with various regulatory guidelines. Collects data and updates ... with a background in healthcare..
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 ..