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Compliance Manager The candidate will manage foundational and strategic compliance responsibilities with consistent excellence that support the team and management. Will manage/oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, ..
Director II Compliance (Ethics) The candidate manages 10-15 people and is responsible for directing the implementation of the department's initiatives. Manages day to day operations of the Ethics program, to include ..
Compliance Director-MRA Coding/Clinical The candidate will ... assessing audit preparedness. Will lead compliance monitoring to identify process gaps, ... to identify process gaps, validate compliance levels, map processes, draft corrective..
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 ..
Ethics and Compliance Counsel Duties: The candidate will carry ... carry out all ethics and compliance responsibilities that are delegated. Oversee ... for inquiries regarding ethics and compliance. Where appropriate,..
Director II Compliance (US) Duties: Collaborate with internal ... innovate strategic programming that corrects compliance issues, remediates risk, and advances ... risk, and advances the company's Compliance Program. Apply critical..
Provides consultation, research, and investigation of medical records Provides medical record chronology, summary, and/or analysis Researches medical literature for cases Provides anatomy and pathophysiology education to attorneys Analyzes pre-deposition and post-deposition ..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Louisville Kentucky Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
... able to conduct a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal, Compliance). o Comfort with data analysis ... o Humana..
... ADR Center Ancillary Services Dinsmore Compliance Services DSD Advisors, LLC Mercantile ... Private Placements Public Company Reporting, Compliance & Governance Public Offerings Securities ... Contracts International Trade and Regulatory..
Fraud and Waste Investigator Duties: The candidate collaborates in investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..
... with personnel, client, courts, other counsel Requirements: Knowledge of legal terminology ... skills (ability to conduct online investigation) Problem solving skills (ability to ... ADR Center Ancillary Services Dinsmore..