Regulatory Associate Jobs in Maryland

Job Information Humana Medicaid Associate Director, Compliance Nursing in Bethesda ... in Bethesda Maryland Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..

Description The Associate Director, Credentialing/Compliance manages the Dental ... state and federal regulations.. The Associate Director, Credentialing/compliance requires a solid ... and external vendors/associations. Responsibilities The Associate Director, manages a..

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 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 ..

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 ..

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 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 ..

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 ..

... 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..

(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) A little about us At Liberty Mutual, our purpose is ..

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 ..

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 ..

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 ..

... improve the Humana processes and associate experience? As a Critical Inquiry ... made by business partners and Regulatory agencies. You will present and ... improve the Humana processes and..

Description The Manager, Compliance - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works within specific guidelines and procedures; applies advanced technical knowledge to ..

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. ..

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. ..

... improve the Humana processes and associate experience? As a Critical Inquiry ... made by business partners and Regulatory agencies. You will present and ... improve the Humana processes and..

Job Information Humana Manager, Compliance - Agent Investigation Unit in Bethesda Maryland Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..

Associate Attorney - Consumer Financial Services ... law firm, seeks a junior-level associate with 0-5 years of legal ... of legal experience for its regulatory compliance practice that focuses on..

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 ..

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 ..