Regulatory Oversight Jobs in San Juan

Job Information Humana Medicaid Associate Director, Compliance Nursing in San Juan Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..

... business requirements, provide research and regulatory interpretation, and advise internal business ... implementation of Medicaid compliance program oversight and monitoring plans, which includes ... newly awarded contracts; Provide on-going..

... changes that assure compliance with regulatory and contract obligations. Coordinates business ... operations. Monitors metrics and other oversight tools that indicate business area ... and apply laws, regulations, and..

... business requirements, provide research and regulatory interpretation, and advise internal business ... changes that assure compliance with regulatory and contractual obligations. Responsibilities Responsibilities ... be used to evidence meeting..

... contract requirements, provide research and regulatory interpretation, perform auditing and monitoring, ... will: Interpret and define Medicaid regulatory and contract requirements to be ... external business partners; Provide on-going..

... changes that assure compliance with regulatory and contract obligations. Coordinates business ... operations. Monitors metrics and other oversight tools that indicate business area ... and apply laws, regulations, and..