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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 Senior Compliance Professional - Medicaid State Reporting in Bethesda Maryland Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
... 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..
What We’re Looking For: The Compliance Specialist will complete key administrative, operational, and project management functions associated with state authorizations for new program launches and other compliance related initiatives and projects. ..
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 The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Baltimore Maryland Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..
Join us as we pursue our disruptive new vision to make machine data accessible, usable and valuable to everyone. We are a company filled with people who are passionate about our ..
... 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 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 ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Bethesda Maryland Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Specialty lines of ... issues, conduct research, and provide..
Job Information Humana Compliance Lead - Remote in Baltimore Maryland Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..
... Manager, Compliance - Medicaid State Reporting ensures compliance with governmental requirements. ... Manager, Compliance - Medicaid State Reporting works within specific guidelines and ... Manager, Compliance - Medicaid State..
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 ..
The role of the Sr. Compliance Manager is to ensure that the company adheres to all People related compliance standards both internally and externally. They are also responsible for enforcing regulations ..
Description The Director, IT Compliance audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
Job Information Humana Compliance Lead - Remote in Bethesda Maryland Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..
... security and compliance deliverables. Compliance Reporting Conduct compliance reviews and assessments. ... and initiatives. Work with Quality, Regulatory Affairs, and auditors to provide ... international data protection and privacy..
