Healthcare Compliance Jobs in Columbia

Compliance Analyst Duties: Create and maintain ... state regulatory submissions/reporting calendar, AHP Compliance Toll-Free Hotline, CMS Complaint Tracking ... stakeholders accordingly. Participate on various compliance subcommittees and workgroups. Perform periodic..

... Java Overview of Position Change Healthcare is seeking a software engineer ... AWS CLI, Verint, SQLServer, Change Healthcare products, and more. What will ... increasingly collaborative, and more efficient..

Compliance Analyst The candidate will assist ... assist in maintaining an internal compliance program; guide special projects; provide ... projects; provide regulatory interpretation; perform compliance reporting; and develop and implement..

Job Information Humana Compliance Lead - Remote in Columbia ... in Columbia Tennessee Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....

Legal Services Director, Licensure and Certification Duties: Establishes and implements consistent processes and procedures across the organization with respect to the management of Medicare/Medicaid enrollments/re-enrollments and revalidations, as applicable, and required ..

Job Information Humana Quality Improvement Coordinator in Columbia Tennessee Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..

Senior Compliance Filing Consultant Duties: This role ... project teams, and Legal and Compliance functional areas. Independently demonstrates the ... the principles of an effective Compliance program, including, but not..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Senior Compliance Filing Consultant Duties: Coordination required ... project teams, and Legal and Compliance functional areas. Independently demonstrates the ... the principles of an effective Compliance program, including, but not..

... direction of a RN in compliance with the state's Nurse Practice ... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... manager(s), other members of the..

Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional works assignments involve moderately ... well-being Responsibilities The MarketPoint..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... for well-being Responsibilities The Senior..

Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Columbia Tennessee Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Columbia Tennessee Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..

... procedures for local and state compliance. Essential Functions: Provides oversight of ... 5 years previous experience in healthcare, preferably rehabilitation experience Prior experience ... a different level. Job :..

PURPOSE AND SCOPE:  The Credentialing Specialist is responsible for verifying submitted Credentialing documentation. for all specialties that provide services to the organization's members. The Credentialing Specialist incumbent will meet all credentialing ..

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

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

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

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..