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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..
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 ..
u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Salem Oregon Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
... 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,..
... 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..
... Information Humana Actuary, Risk and Compliance in Salem Oregon Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..
Job Information Humana Senior Integration Specialist - Cloud in Salem Oregon ... Job Posting Title Senior Integration Specialist Job Description Summary The Senior ... and communication between development, security, compliance,..
Job Information Humana Vendor Management Specialist 3 in Salem Oregon Description ... Oregon Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..
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..
... philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and ... delivery of patient care in compliance with standards outlinedin the facility ... Administrator and initiate as appropriate.Ensure..
Job Information Humana FP&A Lead, Medicaid Market in Salem Oregon Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
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 ..
... 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..
Job Information Humana Lead Cloud Advocate in Salem Oregon Description Humana Cloud Adoption Services team is looking for a Lead Technology Leadership Professional responsible to deliver new technological solutions coordinating solutions ..
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 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..
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..