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... from moderate to substantial utilizing reporting and analytics. Exercises independent judgment ... compliance program which includes metrics, reporting, issue tracking and resolution, and ... as a technical leader for..
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 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 Senior Compliance Professional- REMOTE (Anywhere in the US) in San Juan Puerto Rico Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior ..
... business requirements, provide research and regulatory interpretation, and advise internal business ... changes that assure compliance with regulatory and contractual obligations. Responsibilities Responsibilities ... be used to evidence meeting..
... are centrally documented in the Regulatory Repository Coordinate and compose time ... time sensitive responses to incoming regulatory inquiries and issues reflective of ... reports, prior to submission to..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Pharmacy Benefits and ... issues, conduct research, and provide..
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 Senior IT Compliance Professional- Controls Management (Remote / Virtual) in San Juan Puerto Rico Description We are looking for a talented risk and compliance expert to help build ..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Network and Credentialing ... issues, conduct research, and provide..
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 ..
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. ..
