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auditor
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Description The Senior IT Compliance Professional 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 ..
... compliance, risk management, or internal audit experience and/or significant experience within ... a particular focus on CMS audit readiness) Oversee the identification, analysis, ... third line of defense (Internal..
Description Do you appreciate continuous learning and working in a team environment? Do you thrive in an environment in which you apply critical thinking skills and identify improvements or best practices? ..
Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..
Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
... Medical Coding Auditors Assists the Audit Manager with data analysis, team ... coding guidelines Utilizes electronic tools (i.e., spreadsheets) that have been created ... guidelines Prepares written summaries of..
Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. This role will focus on Humana's ..
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 ..
Job Information Humana Quality Assurance Audit Professional 2 in Metairie Louisiana Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join working remote ..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Metairie Louisiana Description We are looking for a talented risk and compliance expert to help build a best ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
