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... and external audit operations, equity compliance functions and ad hoc administrative ... 1 year of corporate law, compliance department or law firm paralegal ... federal regulators Corporate law or..
NABA Senior Compliance Professional Duties: The candidate will ... implementation of Humana’s Oklahoma Medicaid Compliance Program. Serve as the primary ... Care Organization (MCO) communications regarding compliance issues. Ensure that..
Senior Compliance Professional- Medicare Sales and Marketing Duties: Develop ... Marketing Duties: Develop and implement compliance policies and procedures. Research compliance issues and recommend changes that ... and recommend changes..
Provider Specialist Duties: Works with Premises Attorneys to process case settlements, including Medicare and health insurance liens, review medical bills and computation of net settlements. Works directly with Finance for check ..
Assistant General Counsel, Home Solutions Duties: Provide strategic advice and counsel on operational and regulatory matters, as well as guidance on issues arising in the day-to-day functionality of Humana’s Home Solutions ..
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 ..
Manager, HIPAA and Healthcare Duties: The candidate is responsible for managing clients and projects, assisting in compiling and analyzing HIPAA (Health Insurance Portability and Accountability Act) documents and Protected Health Information/electronic ..
Lien Specialist Duties: Work with Attorneys to process specific liens within case settlements, including Medicare, Medicaid, Federal, ERISA and other as needed. Work directly with Finance for check deposits and payments. ..