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Regulatory Compliance Specialist IV The candidate manages ... support and maintain existing audit compliance efforts and regulatory compliance obligations, and to support program ... are being built to scale compliance..
Diretor, Compliance Responsibilities: Work closely with Legal ... create and execute a risk-based compliance program that identifies and mitigates ... project-based approach to further the compliance program with policy, process,..
Regulatory Compliance Specialist IV The candidate assists and supports the organization in complying with, as well as the ongoing preparation, testing and monitoring of conformance to, the requirements of government regulations ..
Sr. Quality Manager Job Summary Quality Manager is responsible for the day-to-day operations of the Quality function for leading the development, maintenance and execution of the business's Quality Management System in ..
... site within the division). Overseeing compliance to contracting requirements, particularly regarding ... CCBHC and BH LINK/988. Overseeing compliance to requirements from accrediting bodies ... partnership with the program development..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
Description The Manager, Risk Adjustment oversees coding educators ... oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works..
Job Information Humana Associate Director, Provider Data Interoperability in Newport Rhode Island Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..
Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's Provider Medicaid operational business. The Associate ..
Contract Manager (Full Time) Location: Woonsocket, RI POSITION SUMMARY: Support Sr. Vice President of Community Support and Nursing Services, in managing all funding and budget related activities within the division, developing ..
Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..
Description This role will strengthen our Insurance Product Delivery Management Team to drive end-to-end Insurance Product projects cooperating closely with our Product Strategy, Enablement, Finance, IT, Compliance and Sales / Account ..
... of a processing system. Ensures compliance with established environmental, safety, operating, ... / Responsibilities Assists the Project Manager in the daily operation and ... a water system and ensures..
... and or multi-sites. Assures its compliance with established environmental, safety, operating, ... and wastewater system and ensures compliance with operational, QA/QC, safety, environmental, ... Administers labor agreements to ensure..
... MAJOR FUNCTIONS: The Assistant General Manager Specialist has operational and limited ... the assignment. The Assistant General Manager Specialist operates any and all ... the directive of the Regional..