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... Testing Duties: Facilitate business unit and enterprise-wide monitoring & testing via ... plan) of risk management policies and processes, federal and state regulations, to identify gaps ... state regulations,..
... Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes ... be responsible for the administration and monitoring of the Autism Care ... Plan (EFMP). Auditing for quality..
... support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE ... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The ... on problems of diverse..
... data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business ... on problems of diverse scope and complexity ranging..
... support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer ... Group product implementation, operations, contract compliance, and federal contract application submissions. Responsibilities ... to drive cross-market coordination,..
Description The National Delegation Oversight and Support (NDOS) Associate Director role ... our Operational Risk Management, Delegation Compliance, various functional business owners (such ... (such as CPO, CIT, etc.) and..
... plan's strategic opportunity for growth, audit/survey analysis, action plan oversight, implementation ... analysis, action plan oversight, implementation and coordination, provider services and network development and required credentialing processes and..
... across land, sea, air, space, and cyberspace. Enjoy a culture where ... where your voice is valued and start contributing to our team ... pride in creating purposeful work..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..
Description The IT Compliance Professional audits the most complex ... audits the most complex new and existing information systems applications to ... exist, that processing is efficient and accurate, and..
... Information Humana Storage Administrator- Storage and Backup in Colorado Springs Colorado ... to helping people live healthy and happy through personalized care. Following ... are looking for talented Storage..
... support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer ... Group product implementation, operations, contract compliance, and federal contract application submissions. Responsibilities ... for all assigned health..
... providing investigative responses to various audit activity, and developing and maintaining guidelines. Responsibilities The Pharmacy ... Pharmacy Claims Professional 2 analyzes and answers inquiries regarding pharmacy claims ... payment,..