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Health Plan Compliance Officer Responsibilities: Serve as key point of contact for regulatory agencies interfacing with the health plan regarding Compliance issues, Regulatory Audits and Corrective Actions. Develop and manage site ..
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... Integrated Healthcare Delivery Regulatory Counsel in Ridgeland Mississippi Description The Senior ... Counsel position is for an attorney who will provide strategic advice ... provide guidance on issues arising..
... with various regulators and agencies in response to inquiries, requests for ... 1 may also work with in-house attorneys and other paralegals, as ... with Microsoft Office programs (emphasis..
... policies, procedures, and standards are in compliance with requirements set forth ... compliance with requirements set forth in the Contract. Analyze business requirements, ... units and external business partners..
... Assistant General Counsel, Home Solutions in Ridgeland Mississippi Description The Assistant ... and working across the enterprise in in furtherance of Humana's strategy. Key ... as guidance on issues..
Senior Compliance Professional Duties: The candidate will analyze business requirements, provide research and regulatory interpretation, and advise internal business units and external business partners in delivering results in a manner that ..
Senior Fraud and Waste Investigator Duties: The candidate coordinates investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..
Senior Compliance Professional- Medicare Sales and Marketing Duties: Develop and implement compliance policies and procedures. Research compliance issues and recommend changes that assure compliance with contractual obligations and state and federal ..
Fraud and Waste Investigator Duties: The candidate collaborates in investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..
Assistant Counsel - Government Services Duties: Reviews and provides legal advice regarding Requests for Proposal/Qualifications and responses to same. Prepares legal documents, including contracts and legal memoranda. Reviews and responses to ..