Compliance Professional 2 Jobs in Pennsylvania

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

Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance..

Description The Market Development Professional 2 provides support to assigned health ... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. ... application submissions. The Market Development Professional..

Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..

Description The Senior Accreditation Professional works in a team environment ... performing complex tasks related to compliance with accreditation standards across multiple ... Home Anywhere The Senior Accreditation Professional works..

Description The Compliance Nurse 2 reviews utilization management activities and ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are varied and ... appropriate courses of action. The..

... Information Humana Licensed Behavioral Health Professional - Quality Audit in Pittsburgh ... Licensed Behavioral Health Quality Audit Professional. This position ensures mandatory reporting ... is completed. Conducts and summarizes..

... Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in ... Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting..

Description The Health Information Management Professional 2 ensures data integrity for claims ... errors. The Health Information Management Professional 2 work assignments are varied and ... Responsibilities The Health Information..

Description The Quality Compliance Professional 2 completes annual quality reviews and ... reviews and research. The Quality Compliance Professional 2 work assignments are varied and ... of action. Responsibilities The..

... Information Humana Senior Insurance Product Compliance Professional in Pittsburgh Pennsylvania Description The ... Description The Senior Insurance Product Compliance Professional Performs consultation and research for ... development. The Senior..

Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..

... Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in ... Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ... variable factors. Responsibilities Seeking..

... Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, ... Description The Senior Risk Management Professional a critical member within Humana's ... a successful Senior Risk Management..

Description The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts or ... for company, quality, and regulatory compliance. The LFP2 provides guidance and ... company objectives . Required Qualifications 2..

Job Information Humana HCS Compliance & Risk Management Quality Audit ... Quality Audit (QA) Risk Management Professional 2-Remote, US in Pittsburgh Pennsylvania Description ... Pennsylvania Description The Risk Management Professional..

Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Senior Health Information Management Professional manages the process of Prescription Drug Event (PDE) error resolution, which includes partnering with Humana Pharmacy Solutions business areas and PDE stakeholders for process ..

Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex ... variable factors. Responsibilities The Senior..

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

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