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... from moderate to substantial utilizing reporting and analytics. Exercises independent judgment ... compliance program which includes metrics, reporting, issue tracking and resolution, and ... as a technical leader for..
Description The Compliance (UM) Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
Description The Senior Compliance (UM) Professional conducts and summarizes compliance audits. The Senior Compliance (UM) Professional work assignments involve moderately complex to complex issues where the analysis of situations or data ..
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Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine ..
... are centrally documented in the Regulatory Repository Coordinate and compose time ... time sensitive responses to incoming regulatory inquiries and issues reflective of ... reports, prior to submission to..
Description The Manager, 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 Manager, Compliance ..
Description The Supervisor, Compliance (UM) conducts and summarizes compliance audits. The Supervisor, Compliance (UM) works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve ..
Job Information Humana Senior Compliance Professional - Medicaid State Reporting in Tampa Florida Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
... 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..
Click on Learn more about this agency button below to view Eligibilities being considered and other IMPORTANT information. WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on ..
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. ..
... GIL in ensuring compliance with regulatory requirements relevant to maintaining GIL’s ... preparing the business for upcoming regulatory changes. This high-visibility role will ... Worker's Compensation licensing obligations and..
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 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 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 Manager, Compliance (UM) conducts and summarizes compliance audits. This role works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the ..
Description Humana is seeking an Associate Director, Quality Compliance Nursing that works with physicians/physician groups to ensure highest accountability of compliance and quality. The Associate Director, Quality Compliance Nursing requires a ..
... Manager, Compliance - Medicaid State Reporting ensures compliance with governmental requirements. ... Manager, Compliance - Medicaid State Reporting works within specific guidelines and ... Manager, Compliance - Medicaid State..
STARTING SALARY RANGE: $23.02 - $25.32 per hour POSITION: Code Compliance Officer POSITION NO: 3.116 DEPT: Code Compliance This position is responsible for inspections and enforcement activities to obtain compliance with ..
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 ..
