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Senior Privacy Specialist The candidate will address privacy-related ... or other reasons. Review legal documentation for sufficiency under privacy regulations, ... interviews, document sanctions to demonstrate compliance with relevant laws..
Privacy Specialist II The candidate will address ... or other reasons. Review legal documentation for sufficiency under privacy regulations, ... interviews, document sanctions to demonstrate compliance with relevant laws and..
... you. Responsibilities The Senior IT Compliance Professional works with all parts ... information systems procedures are in compliance with industry and corporate standards. ... track and manage Risk and..
... timely requirements, prioritization, testing and documentation Develop and maintain key relationships ... support of Healthcare Interoperability and compliance to CMS regulations Develop criteria ... measurement of Healthcare Interoperability and..
Description The Senior IT Compliance Professional audits the most complex ... information systems procedures are in compliance with corporate standards. The Senior ... corporate standards. The Senior IT Compliance Professional..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
... Humana Lead, IT Risk and Compliance - Business Managed Technology in ... The Lead, IT Risk and Compliance - Business Managed Technology is ... - UDOIT) Governance, Risk and..
... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA and ACA), using skills including but not ..
Description Be a part of our Interoperability space - Provide guidance to facilitate interaction with digital services and capabilities that connect people with lifelong well-being. Responsibilities Humana is seeking Product Owners ..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... reviews utilization management activities and documentation to ensure adherence to policies, ... waste, and abuse. The Supervisor, Compliance Nursing works..
Job Information Humana Vendor Management Specialist 3 in Meridian Idaho Description ... Idaho Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..
Job Information Humana Lead Cloud Advocate in Meridian Idaho Description Humana Cloud Adoption Services team is looking for a Lead Technology Leadership Professional responsible to deliver new technological solutions coordinating solutions ..
... to promote accurate and complete documentation Recommend and review medical coding ... related education for medical record documentation guidelines Review and respond to ... to diagnosis coding to ensure..
Job Information Humana Senior Integration Specialist - Cloud in Meridian Idaho ... Job Posting Title Senior Integration Specialist Job Description Summary The Senior ... and communication between development, security, compliance,..
... Information Humana Actuary, Risk and Compliance in Meridian Idaho Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..
Principal Compliance Specialist, Corporate Functions and Payment Duties: ... with the research of regulatory compliance requirements and evaluating the adequacy ... identification, assessment, and communication of compliance program risks and..
Description Introduction The 3rd Party Segment Lead will execute and lead a team of risk professionals in conducting cyber and regulatory-driven assessments and oversight of key 3rd Parties across designated business ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..