Compliance Documentation Specialist Jobs in South Dakota

SUMMARY: This position is responsible for recruiting interviewing and hiring personnel for the various shifts in compliance with all EEO regulations; strictly adhering to all employment authorization guidelines in accordance with ..

... 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..

... Information Humana Actuary, Risk and Compliance in Aberdeen South Dakota Description ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..

Job Information Humana Medicare Appeals and Grievance Medical Director in Aberdeen South Dakota Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..

Job Information Humana Vendor Management Specialist 3 in Aberdeen South Dakota ... Dakota Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..

... 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..

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 ..

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..

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 ..

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..

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..

... Humana Lead, IT Risk and Compliance - Business Managed Technology in ... The Lead, IT Risk and Compliance - Business Managed Technology is ... - UDOIT) Governance, Risk and..

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 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 ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Aberdeen South Dakota Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..

Job Details: SUMMARY: Execute strategic plans and develop tactical short range plans necessary to provide Tyson competitive advantages in service offerings that will add value to our Intl supply chain and ..

Job Information Humana Lead Cloud Advocate in Aberdeen South Dakota Description Humana Cloud Adoption Services team is looking for a Lead Technology Leadership Professional responsible to deliver new technological solutions coordinating ..

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 ..

Job Information Humana FP&A Lead, Medicaid Market in Aberdeen South Dakota Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

Job Information Humana Senior Integration Specialist - Cloud in Aberdeen South ... Job Posting Title Senior Integration Specialist Job Description Summary The Senior ... and communication between development, security, compliance,..

... 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,..

Complex Claims Specialist - Program Law Duties: The candidate performs a combination of duties in accordance with departmental guidelines. Manages an inventory of moderate to high complexity and exposure commercial claims ..

... 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,..