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Senior manager compliance Programs Corporate Functions Duties The ... team that maintains and enhances compliance program components including but not ... Lead identification and assessment of compliance program risks and..
Senior manager compliance Programs Duties Manage a team ... team that maintains and enhances compliance program components Provide support coaching ... annual performance evaluations Research regulatory compliance requirements and develop..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Salem Oregon Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
... background and industry-standard clinical / coding guidance to ensure physician and ... position provides supportive clinical and coding expertise across the teams in ... those functions Serve as a..
Senior Manager Compliance Programs Duties: Manage a team ... team that maintains and enhances compliance program components. Provide support, coaching, ... annual performance evaluations. Research regulatory compliance requirements and develop..
... SAP Global Trade Services - Manager The candidate will have the ... importers and exporters achieve worldwide compliance and realize efficiencies in their ... import and export strategies and..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
International Tax Manager, Global Trade Advisory Duties: The candidate will be participating in engagements requiring regulatory analysis for a variety of entities and their affiliates. Helping companies manage global compliance requirements ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... in Salem Oregon Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..
... Interoperability, 2) serve as a coding expert to manage escalations or ... acumen, and industry-standard clinical / coding guidance to ensure physician and ... position provides supportive clinical and..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is ... for assigned areas. Ensures full compliance with contract requirements, policies and ... Review ABA TPs for policy compliance o..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Senior Manager Compliance Programs, Corporate Functions Duties: The ... team that maintains and enhances compliance program components, including, but not ... Lead identification and assessment of compliance program risks and..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Title:Restaurant ManagerJob Description:If operating a restaurant is your dream career, you can make it happen at Red Lobster. As a Restaurant Manager, you will be responsible for leading restaurant operations with ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The..
Job Information Humana Associate Director, Provider Data Interoperability in Salem Oregon Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
