Compliance Professional 2 Jobs in Largo

Description The Senior Risk Management Professional identifies and analyzes potential sources ... risk. The Senior Risk Management Professional work assignments involve moderately complex ... Responsibilities The Senior Risk Management Professional..

Description The Senior Policy Governance Professional policy Governance is the combination ... Governance is the combination of Compliance processes established and executed that ... goals. The Senior Policy Governance Professional..

Description The Senior Risk Management Professional identifies and analyzes potential sources ... risk. The Senior Risk Management Professional work assignments involve moderately complex ... Responsibilities The Senior Risk Management Professional..

Description The Provider Contracting Professional 2 initiates, negotiates, and executes LTC ... health insurance. The Provider Contracting Professional 2 work assignments are varied and ... contracting payment initiatives and AHCA..

Description 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 or data requires ..

Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..

... Information Humana Medicaid Associate Director, Compliance Nursing in Tampa Florida Description ... Florida Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians ... to ensure high accountability of compliance and quality. The Quality Assurance, ... quality. The Quality Assurance, Clinical..

Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market ..

Description The Provider Contracting Professional 2 initiates, negotiates, and executes LTC ... health insurance. The Provider Contracting Professional 2 work assignments are varied and ... contracting payment initiatives and AHCA..

... The Senior Health Information Management Professional ensures data integrity for claims ... The Senior Health Information Management Professional work assignments involve moderately complex ... The Senior Health Information Management..

Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..

Description The Senior Risk Management Professional will be responsible for managing ... Responsibilities The Senior Risk Management Professional will be dedicated to supporting ... responsible for developing a vendor compliance..

Job Information Humana Senior Accreditation Professional in Tampa Florida Description The ... Florida Description The Senior Accreditation Professional works in a team environment ... performing complex tasks related to compliance..

Description The Compliance Manager ensures compliance with governmental requirements. The Compliance Manager works on problems of ... moderate to substantial. Responsibilities The Compliance Manager develops and implements compliance policies and..

... The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the ... The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex ... The Senior Medical/Financial Risk Evaluation..

... and more productive in their professional and personal lives. We encourage ... industry as a whole. The Compliance Nurse 2 reviews utilization management activities and ... fraud, waste, and..

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

... Senior Claims Process & Policy Professional processes new insurance policies, modifications ... Senior Claims Process & Policy Professional work assignments involve moderately complex ... Senior Claims Process & Policy..

... (ACD) team performance to ensure compliance with contract and complex ACD ... Section 4. Responsibilities The Senior Compliance Professional responsibilities include analyzing data, reporting ... ACD associates to assure..

Description 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 or data requires ..

Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..

Description The Credentialing Professional 2 obtains and reviews documentation to ... a health plan. The Credentialing Professional 2 work assignments are varied and ... of action. Responsibilities The Credentialing Professional..