Government Contract Compliance Manager Jobs in Dover

Description The Compliance Professional 2 (CP2) develops and ... 2 (CP2) develops and implements compliance policies and procedures, researches compliance issues and recommends changes that ... develops and nurtures relationships..

... timely and accurate implementation of Government supplied or directed fee schedules, ... and surveillance techniques to ensure compliance with government regulations. In collaboration with other ... responded to as..

Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Dover ... Dover Delaware Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

... of variable factors. Responsibilities Humana Government Business's (HGB) Behavioral Health Medical ... Management (DM), population health management, contract compliance, quality improvement, and pilot/value-based payment ... HGB policy development to..

... of variable factors. Responsibilities Humana Government Business's (HGB) Behavioral Health Medical ... Management (DM), population health management, contract compliance, quality improvement, and pilot/value-based payment ... HGB policy development to..

Senior Manager Compliance Programs Duties: Manage a team ... team that maintains and enhances compliance program components. Provide support, coaching, ... annual performance evaluations. Research regulatory compliance requirements and develop..

Job Information Humana Manager, Compliance - Agent Investigation Unit in ... in Dover Delaware Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..

... TRICARE line of business. Meet contract deliverables and performance guarantees while ... developmental plans at a 95% compliance rate for Supervisors and above; ... HGB / Humana brand Meet..

Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..

Job Information Humana Director, Informatics in Dover Delaware Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..

... with vendors, as needed. Humana Government Business government contract requires U.S. citizenship for this ... needs, data needs, provider audit compliance etc. 20 % Develop deep ... used Our..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are ... courses of action. Responsibilities The Compliance Professional 2 develops and implements .....

Senior Manager Compliance Programs, Corporate Functions Duties: The ... team that maintains and enhances compliance program components, including, but not ... Lead identification and assessment of compliance program risks and..

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Dover ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... auditing for quality and clinical compliance,..

Job Information Humana Manager, Credentialing in Dover Delaware Description ... Dover Delaware Description Responsibilities The Manager, Certifications Operations reviews the applicant's ... and conducted in accordance with contract requirements. Work..

Description The Manager, Compliance - Medicaid State Reporting ensures ... - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works ... perks for..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... auditing for quality and clinical compliance, and case management. Serve as ... ABA treatment plans for policy compliance. Assist..

... (ACD) team performance to ensure compliance with contract and complex ACD policy requirements ... ACD associates to assure performance compliance. Advises leadership to develop functional ... best course of..

Job Information Humana Senior Compliance Professional - Medicaid State Reporting ... Dover Delaware Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

Description The Associate Director ensures compliance with governmental requirements for Medicaid. ... Associate Director develops and implements compliance program oversight and monitoring plans, ... based. The Associate Director researches compliance..

Description The Director, IT Compliance audits the most complex new ... information systems procedures are in compliance with corporate standards. The Director, ... corporate standards. The Director, IT Compliance requires..