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Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
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..
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:text,ActualValueFromSolar:null},{QuestionName:Job Description,AnswerValue:u003cpu003eu003cspanu003eu003cbu003eJOB SUMMARY u003c/bu003eu003c/spanu003eu003c/pu003eu003cpu003eu003cspanu003eThis position will oversee and conduct financial and operational audits of the Sports and Entertainment Group, recommend suggestions for improvements in internal accounting controls and business processes, ensure ..
Inpatient Hospital Coding Compliance Auditor The Inpatient Hospital Coding Compliance Auditor will provide expert auditing services ... audits. Primary Responsibilities: Perform coding compliance and quality audits in support ... audits..
,AnswerValue:u003cpu003eu003cstrongu003eBuild a Bigger, Better, Bolder Futureu003c/strongu003eu003cbru003eImagine working for a company that measures its success based off the growth of its colleagues, a company that invests in its future by investing in ..
... the Company's Section 404 (SOX) compliance efforts, including General IT controls. ... of the organization to ensure compliance with the organization's policies, procedures ... to execute on Sarbanes-Oxley (SOX)..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Brentwood Tennessee Description The Quality (Non-Calls) Professional 2 ensures that products ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Brentwood Tennessee Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Tennessee Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..
Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of ... & Analytics to ensure continued compliance through innovative product offerings and ... and..
Description The Claims Quality Audit Representative 3 audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. The Claims Quality Audit Representative 3 performs advanced administrative/operational/customer ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Brentwood Tennessee Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..
Senior Internal Auditor The Senior Internal Auditor will add value and improve operations by bringing a systematic and disciplined approach to the effectiveness of risk management, control, and governance processes. The ..
Description The DRG Validation Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... action. Responsibilities The DRG Validation Auditor confirms..
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..
Job Information Humana Bilingual Quality Auditor in Brentwood Tennessee Description The ... Tennessee Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being ..
... Marketing Operations team, the QA Auditor reviews marketing communications for accuracy ... the accuracy review , the auditor uses proof reading skills and ... the adherence review , the..
... of the Senior IT Internal Auditor includes these and more! The ... more! The Senior IT Internal Auditor develops, directs, plans and evaluates ... and related procedures to ensure..