Compliance Audit Jobs in Atlanta

Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / ... for a talented risk and compliance expert to help build a ... IT leaders to ensure Humana's compliance..

... The role includes executing the audit plan and prepares reports for ... not limited to: Conduct operational, compliance, financial and investigative audits that ... the systems and controls under..

... Duties Serves as Computer Assisted Audit Techniques (CAATs)/Quantitative Methods (QM)/Data Analytics ... other auditing techniques to brainstorm audit approaches with FAOs to prepare ... in the application of electronic..

... the role of Director, Internal Audit. In this role, you will ... role, you will lead internal audit initiatives for multiple business segments, ... not have responsibility for Sarbanes-Oxley..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) ... of action. Responsibilities The Quality Audit Professional 2 audits quality of ... Grievance/Appeals case information to ensure compliance of..

Responsibilities Plan and oversee the auditing process Allocate responsibilities to junior and staff auditors Review team members work for accuracy and compliance Perform effective risk and control assessments Complete audits on ..

Job Information Humana Senior Compliance Professional, Specialty Compliance in Atlanta Georgia Description The ... Atlanta Georgia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with..

Job Information Humana Bilingual Quality Auditor in Atlanta Georgia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..

Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..

... Summary Responsible for performing quarterly audit engagements year-round to help identify ... aspects of the standard internal audit process, which includes the three ... and legal requirements. Applies appropriate..

Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Atlanta Georgia Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..

Program Manager Compliance, Audit, Security, and Policy The candidate will partner with closely related teams and business stakeholders to drive alignment on compliance, security, risk management, and business goals throughout the ..

... be to coordinate with the Audit Managers and other team members ... team members to execute the audit process, including risk assessment, planning, ... process, including risk assessment, planning,..

Atlanta office of a BCG Attorney Search Top Ranked Law Firm seeks a real estate associate attorney with 3 years of relevant professional experience as a Real Estate Attorney in a ..

... seeking a Director of Clinical Audit. This person will develop and ... are responsible for managing clinical audit, working with markets to ensure ... providers, and management to ensure..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Atlanta Georgia Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..

Compliance Auditor Duties: The candidate will ... and workflow processes to ensure compliance, accuracy and deadlines. Conceptualize the ... coding audits/reviews performed by the audit team to help identify and..

The Healthcare Compliance Audit Manager position will require the ... in many facets of healthcare compliance (manufacturing, receipt, distribution, warehousing, order ... position is responsible for developing audit methodologies for..

A law firm is seeking a State and Local Tax Associate Attorney for their Atlanta office. The State and Local Tax Associate Attorney will focus on state and local income, franchise, ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) ... of action. Responsibilities The Quality Audit Professional 2 audits quality of ... Grievance/Appeals case information to ensure compliance of..

Description Humana's Internal Audit team provides independent objective assurance ... Associate Vice President (AVP), Internal Audit reports directly to Humana's Chief ... reports directly to Humana's Chief Audit Executive. The..

... IS&T Director, Governance Risk & Compliance is responsible for the implementation ... business leaders, LOB Data Managers Compliance, Risk, and Audit on data policies, standards business ... Enterprise Governance,..

Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..