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Description The Director, Business Intelligence solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Director, Business Intelligence requires an in-depth understanding ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Bethesda Maryland Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and Compliance team ensuring that dental providers are Credentialed/Re-credentialed according to CMS and State guidelines and that Humana's Dental Networks operate in ..
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 ..
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 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 This position is responsible for design, implementation, and ongoing maintenance of the IT Compliance Program. This includes both internal controls definition, interpretation, and adherence efforts as well as supporting our ..
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 ..
PROGRAM DESCRIPTION The Information Security and Compliance Office (ISCO) is a part of the Enterprise Information Technology (EIT) Directorate within Leidos Biomed. The ISCO provides IT security auditing, engineering, and incident ..
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 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 ..
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 ..
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. ..
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 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 ..
... 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..
... procedures are in compliance with regulatory requirements. Coordinates compliance and privacy ... needed, for compliance with various regulatory guidelines. Collects data and updates ... with a background in healthcare..
Description The Senior Risk Management Professional identifies, analyzes, and works to mitigate potential sources of risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
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 ..
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 ..
