Compliance Fraud Jobs in South Dakota

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Description The Senior Vendor Management Professional with Humana manages a diverse scope of complex vendor projects in collaboration with all areas of Claims Cost Mgt (CCM) in an effort to reduce ..

... Information Humana Medicaid Associate Director, Compliance Nursing in Aberdeen South Dakota ... Dakota Description The Associate Director, Compliance Nursing reviews utilization management activities ... and to prevent and detect..

Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the ... South Dakota Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental ... and governmental requirements. The..

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Aberdeen South Dakota Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..

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 ..

Description The Supervisor, Compliance Nursing reviews utilization management activities ... and to prevent and detect fraud, waste, and abuse. The Supervisor, ... waste, and abuse. The Supervisor, Compliance Nursing works..

Description The CCM Compliance Professional 2 ensures compliance with governmental and contractual requirements. ... and contractual requirements. The CCM Compliance Professional 2 work assignments are ... of action. Responsibilities The..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..

Description The Assistant General Counsel provides a full range of legal advice and services. The Assistant General Counsel provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced ..

... seat at the legal and compliance table, for purposes of ensuring ... executive stakeholders, communicator to legal, compliance, markets, operations, etc... , collaborator ... - ensuring proper identification of..

Description The Lead, CyberSecurity Policy and Standards evaluates, tests, recommends, develops, coordinates, monitors and maintains information systems (IT) and cyber security policies, procedures and systems, including access management for hardware, firmware ..

Job Information Humana Fraud and Waste Investigator - Work ... have a passion for combating Fraud, Waste, and Abuse in the ... join Humana's SIU. The Senior Fraud and Waste..

... Humana Senior Cybersecurity Risk & Compliance Professional in Aberdeen South Dakota ... the Senior Cybersecurity Risk & Compliance Professional at Author by Humana ... managing cross-functional Governance, Risk and..

... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... and to prevent and detect fraud, waste, and abuse. The Compliance Nurse work assignments are varied .....

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT ... have a passion for combating Fraud, Waste, and Abuse in the ... join Humana's SIU. The Senior Fraud and..