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... two are described here: The Specialist/Manager Regulatory Operations contributes to the strategic planning ... strategic planning and preparation of regulatory submissions and supports the formatting, ... organization, and structuring..
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... 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 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 ..