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Description The Compliance (UM) Lead conducts and summarizes ... (UM) Lead conducts and summarizes compliance audits. The Compliance (UM) Lead works on problems ... moderate to substantial. Responsibilities The Compliance..
Description The Senior Compliance Nurse reviews utilization management activities ... waste, and abuse. The Senior Compliance Nurse work assignments involve moderately ... Responsibilities Job Description The Senior Compliance Nurse ensures..
... seeking an Associate Director, Quality Compliance Nursing that works with physicians/physician ... to ensure highest accountability of compliance and quality. The Associate Director, ... quality. The Associate Director, Quality..
... analyzing member care, trending quality compliance at the provider level and ... in Medicaid and / or Medicare Experience with Word, Excel (Pivot ... prior to employment to ensure..
Description The Senior Compliance (UM) Professional conducts and summarizes ... (UM) Professional conducts and summarizes compliance audits. The Senior Compliance (UM) Professional work assignments involve ... variable factors. Responsibilities The..
Job Information Humana Compliance Nurse - Conviva - Remote, ... industry as a whole. The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2..
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..
... industry as a whole. The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... courses of action. Responsibilities The..
Description The Manager, Compliance (UM) conducts and summarizes compliance audits. This role works within ... and goals. Responsibilities The Manager, Compliance (UM) collects and analyzes data ... managers across the..
Job Information Humana Health Services Compliance Manager - Remote FL in ... Tampa Florida Description The Manager, Compliance (UM) conducts and summarizes compliance audits. The Manager, Compliance (UM) works within..
Description The Senior Compliance Nurse reviews utilization management activities ... waste, and abuse. The Senior Compliance Nurse work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance Nurse ensures..
Description The Compliance Professional 2 ensures compliance with governmental requirements by reviewing ... and procedures when necessary. The Compliance Professional 2 work assignments are ... courses of action. Responsibilities The..
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..
... & Responsibilities: Be knowledgeable of Medicare Advantage rules, regulations, and guidelines ... productivity/efficiency opportunities. Monitors and tracks compliance with required Medicare training programs. Monitors and tracks ... licensing applications,..
... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... fraud, waste, and abuse. The Compliance Nurse work assignments are varied ... schedule and overtime. Responsibilities The..
