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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 ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati ... in Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..
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... business requirements, provide research and regulatory interpretation, and advise internal business ... you will: Interpret and define regulatory and contract requirements to be ... monitoring of all Medicaid business..
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 ... compliance reviews of business partner operations. Monitors metrics and other oversight ... and apply laws, regulations, and..
Communicate regulatory changes and trends with the ... in financial industry compliance and/or operations; Preferably in a manager, officer ... the current and proposed financial regulatory environment (SEC, FINRA, DOL/ERISA,..
Job Information Humana Compliance Lead - Remote in Cincinnati Ohio Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Cincinnati Ohio Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
... 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..
... business requirements, provide research and regulatory interpretation, and advise internal business ... Professional will serve as the Regulatory Compliance subject matter expert for ... and apply laws, regulations, and..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Cincinnati Ohio 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. The Manager, Compliance - Medicaid State Reporting works within specific guidelines and procedures; applies advanced technical knowledge to ..
Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... business requirements, provide research and regulatory interpretation, and advise internal business ... and monitoring of Medicaid business operations to ensure full compliance and ... monitor performance; Interpret and define..
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..
... contract requirements, provide research and regulatory interpretation, perform auditing and monitoring, ... will: Interpret and define Medicaid regulatory and contract requirements to be ... and monitoring of Medicaid business..
