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... customers Thought Leaders (TL) and Healthcare Providers (HCP) within assigned geography. ... questions, ensuring medical accuracy and compliance with local procedures, company ethical ... Actively assess the medical and..
... research, competitive analysis and product compliance requirements. Perform data and research ... guidance for marketing materials and regulatory materials to ensure content is ... senior-focused health care or Humana..
Description The Compliance Lead ensures compliance with governmental requirements and works ... include: Responsible for effectiveness of compliance program which includes metrics, reporting, ... process improvements and automation to compliance..
Job Information Humana Compliance (UM) Coordinator 2 in San ... Juan Puerto Rico Description The Compliance (UM) Coordinator 2 conducts and ... Coordinator 2 conducts and summarizes compliance audits. The..
PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Responsible for maintaining the ..
Job Information Humana Senior Compliance Professional (Network & Credentialing) in ... Puerto Rico Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Job Information Humana Compliance Professional 2 - Medicaid in ... Juan Puerto Rico Description Responsibilities Healthcare isn't just about health anymore. ... of our members, and the healthcare industry as..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in San ... Puerto Rico Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
... the global leader in dialysis healthcare: Fresenius Medical Care North America. ... we advance careers and the healthcare of countless individuals. Why Join ... a promising career with a..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in ... Puerto Rico Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Job Information Humana Lead, IT Compliance - Technology Exams, Audits and ... accurate and appropriate responses to regulatory exams, internal and external audits, ... requires experience in responding to regulatory..
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..
Job Information Humana Compliance Prof 2/Process and Market Support- ... made by business partners and Regulatory agencies. You will present and ... made by business partners and Regulatory agencies. You..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
PURPOSE AND SCOPE:Supports the training and education of employees based in company facilities and programs within an assigned geographical area. Delivers standardized, competency based, training and development programs including new employee ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Puerto Rico Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..
... Information Humana Medicaid Associate Director, Compliance Nursing in San Juan Puerto ... Rico Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... occurs with..
... and other members of the healthcare team to interpret, adjust, and ... delivery of patient care in compliance with standards outlined in the ... philosophy. Adheres to the FMCNA..