Regulatory Reporting Specialist Jobs in Maryland

... Software Asset Management (SAM) team reporting directly to the Humana Software ... a Software Entitlement and Compliance Specialist who will be accountable for ... Asset Management Entitlement and Compliance..

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 ..

Description Humana is seeking a Software Entitlement and Compliance Specialist who will be accountable for partnering with specific business areas to support both hardware and software asset management processes including full ..

What You Will Do: Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations ..

... 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..

... through the Compliance Hotline, internal reporting, or other reporting and monitoring mechanisms. Develops closing ... Compliance Hotline statistical data for reporting to the Audit and Compliance ... and presentation...

... 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..

What We’re Looking For: The Compliance Specialist will complete key administrative, operational, and project management functions associated with state authorizations for new program launches and other compliance related initiatives and projects. ..

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 ..

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 ..

... through the Compliance Hotline, internal reporting, or other reporting and monitoring mechanisms. Develops closing ... Compliance Hotline statistical data for reporting to the Audit and Compliance ... and presentation...