Specialist Jobs in Maryland

ALTEK Information Technology, Inc. is currently recruiting for: Sr. Project Manager- PCI Compliance Title: Sr. Project Manager- PCI Compliance Location: Owings Mills, MD Duration: 12 Months Responsibilities: • Manages projects, develops ..

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) ..

What You Will Do: Compliance Analyst Full Time, M-F Linthicum, MD The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part ..

What You Will Do: Compliance Manager Full Time Linthicum, MD General Summary Under general supervision coordinates, develops, implements, and disseminates policies, procedures, standards, and operations to ensure compliance with federal and ..

Description Be a part of the Software Asset Management (SAM) team reporting directly to the Humana Software Asset Management Licensing Lead. Humana is seeking a Software Entitlement and Compliance Specialist who ..

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: General Summary Supports the Compliance Program and is committed to the operation of an effective compliance program. Works under general direction to perform ongoing activities related to ..

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 Coding Compliance Specialist obtains appropriate reimbursement levels for professional services by reviewing and coding clinical diagnoses and procedures for physician visits and other services. Analyzes denial and reject reports ..

What You Will Do: General Summary Under the supervision of the Director of Compliance, the analyst will manage, develop, implement and monitor policies, procedures, processes, training, corrective action plans and overall ..

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 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 ..

Description Humana is seeking a Software Entitlement and Compliance Specialist who will be accountable for partnering with specific business areas to support both hardware and software asset management processes including full ..

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. ..