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... team execution and performance oversight, reporting and analytics Responsible for the ... applicability of laws, regulations, and regulatory guidance for Commercial and Provider ... 5 years of experience in..
... on fraud, waste and abuse reporting; the CP2 also develops and ... Government Fraud, Waste & Abuse Reporting and Referrals (As assigned by ... Compliance Professional of Government FWA..
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 ..
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Job Information Humana Senior Compliance Professional - Medicaid State Reporting in Louisville Kentucky Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
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 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 The Compliance (UM) Professional 1 conducts and summarizes compliance audits. The Compliance (UM) Professional 1 work assignments are often straightforward and of moderate complexity. Nursing License is not required. Responsibilities ..
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. ..
Description The Senior Compliance Professional will work with Humana Primary Care Organization's internal business partners to oversee and track compliance issues, trend data, prepare regular reporting, provide compliance support to PCO ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Louisville Kentucky Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Louisville Kentucky Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..
Description The Manager, Compliance - Medicaid State Reporting ensures compliance with governmental requirements. ... compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works within specific guidelines and..
