Healthcare Compliance Auditor Jobs in Kentucky

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

Description The Director, Internal Audit develops, plans and evaluates internal audit programs for the organization's accounting and statistical records and the activities of various departments to ensure compliance with the organization's ..

Description The Senior Compliance and Quality Professional contributes to ... strategy by supporting quality and compliance initiatives across Service Operations teams ... and operating standards. The Senior Compliance and Quality..

... Grievance/Appeals case information to ensure compliance of all CMS regulations and ... driving accuracy and quality assurance, compliance to all established policies and ... or Auditing experience in the..

Job Information Humana Clinical Auditor Registered Nurse Care Management or ... is completed. Conducts and summarizes compliance audits. Responsibilities The Clinical Auditor for the Care and or ... physician office,..

Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / ... for a talented risk and compliance expert to help build a ... IT leaders to ensure Humana's compliance..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of ... Healthy Horizons is hiring a Compliance Lead - Medicaid Business Readiness ... Medicaid..

Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to analyze data and works collaboratively with teams to improve quality for KY Medicaid members. Responsibilities The Quality Compliance Nurse ..

... the Company's Section 404 (SOX) compliance efforts, including General IT controls. ... of the organization to ensure compliance with the organization's policies, procedures ... oversees the information technology and..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..

Job Information Humana Senior Compliance Registered Nurse in Louisville Kentucky ... Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory ... timely and accurately. Responsibilities Senior Compliance Nurse..

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..

... Marketing Operations team, the QA Auditor reviews marketing communications for accuracy ... the accuracy review , the auditor uses proof reading skills and ... the adherence review , the..

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

Job Information Humana Bilingual Quality Auditor in Louisville Kentucky Description The ... Kentucky Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..

Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk ... clinics including serving as a compliance subject matter expert for revenue ... value-based care programs. The Senior..

OverviewnThe System Healthcare Analyst, Controlled Substance Accountability: Audit ... substance accountability, regulatory and policy compliance. This person will provide support ... Accountability. The analyst will monitor compliance to UofL Health..

... Addiction Equity Act (MHPAEA) Lead, Compliance ensures compliance with regulatory requirements. The Lead ... in a manner that minimizes compliance risk exposure for the Company. ... to audit and..

Description The DRG Validation Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... action. Responsibilities The DRG Validation Auditor confirms..

... Grievance/Appeals case information to ensure compliance of all CMS regulations and ... driving accuracy and quality assurance, compliance to all established policies and ... or Auditing experience in the..

Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Louisville Kentucky Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..

Description The Bilingual Senior Compliance Professional - Agent Investigations Unit ... Agent Investigations Unit (AIU) ensures compliance with governmental requirements, specifically those ... Humana plans. The AIU Senior Compliance Professional..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Kentucky Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..