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... At Home Special Needs Plan Compliance Review team within Home Solutions ... Review team within Home Solutions Compliance and Risk Management. The Quality Assurance Professional 2 performs audits .....
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... seeking a Software Entitlement and Compliance Specialist who will be accountable for ... including full software lifecycle management, compliance, optimization, audit data requests and ... Software Asset Management Entitlement..
... service management, Cybersecurity, infosec, privacy, regulatory compliance, etc.) and across the broader ... automated analysis that can populated. regulatory compliance reporting and metrics for the ... the overall risk..
... managed care, PBM, market and regulatory insights to develop and/or implement ... managed care, PBM, market and regulatory insights to lead the development ... remediation Ensures that formulary development..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Tulsa Oklahoma Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... occurs with a context of regulatory compliance, and work is assisted by ... meeting departmental expectations, and meets compliance timelines. Supports the assigned work ... training in transitions of..
... seeking a Software Entitlement and Compliance Specialist who will be accountable for ... including full software lifecycle management, compliance, optimization, audit data requests and ... where the Software Entitlement..
