Compliance Documentation Specialist Jobs in Troy

... 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 Troy Michigan Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..

Job Information Humana Vendor Management Specialist 3 in Troy Michigan Description ... Michigan Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..

... 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,..

... 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,..

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..

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..

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

... 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 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 Senior Provider Contracting Professional - TRICARE Behavioral Health in Troy Michigan Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..

... 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 Troy Michigan ... Job Posting Title Senior Integration Specialist Job Description Summary The Senior ... and communication between development, security, compliance,..

CNC Lathe Operator - Shift Lead – Second Shift in Troy, MI Are you interested in a career working as a CNC Lathe Operator - Shift Lead in a manufacturing environment? ..

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..

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

Full Time Supports operational groups and project teams and customers in the areas of physical security, loss prevention, awareness training, investigations, integrity audits and product claims prevention and mitigation. Provides handling, ..

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 Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..

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