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Description The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of ... moderate to substantial. Responsibilities The Compliance Lead (SNP) develops and implements .....
Description The Compliance Nurse 2 reviews medical management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
... Information Humana Medicaid Associate Director, Compliance Nursing in Albuquerque New Mexico ... Mexico Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Bariatric Program RN Coordinator Department: Medical Specialty Clinic Location: Rio Rancho, NM START YOUR APPLICATION Job Summary The Bariatric Program Nurse Coordinator provides clinical and operational support to the surgeons and ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... New Mexico Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..
Description The Assistant General Counsel provides a full ... legal advice and services. The Assistant General Counsel provides strategic advice ... Home Solutions Legal Team, the Assistant General Counsel, Clinical..
Job Information Humana Compliance (UM) Coordinator 2 in Albuquerque ... Albuquerque New Mexico Description The Compliance (UM) Coordinator 2 conducts and ... Coordinator 2 conducts and summarizes compliance audits. The..
Compliance Specialist Duties: Participates in the ... the administration and oversight of compliance programs for all jurisdictions and ... Works with the CCO, VP Compliance, and Compliance Oversight Committee to..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
Ethics and Compliance Counsel Duties: The candidate will ... carry out all ethics and compliance responsibilities that are delegated. Oversee ... for inquiries regarding ethics and compliance. Where appropriate, own..
... staff, social worker, case manager assistant, utilization review nurse, and the ... safety goals, policies and procedures, regulatory and legal compliance, therapeutic standards, measuring of health ... makes or..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
Job Information Humana Senior Compliance Professional - Disability and Life ... New Mexico Description The Senior Compliance Professional will analyze business requirements, ... business requirements, provide research and regulatory interpretation,..
Job Information Humana Assistant General Counsel, Home Solutions in ... Albuquerque New Mexico Description The Assistant General Counsel provides a full ... legal advice and services. The Assistant General Counsel..
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..
... Enterprise Risk Management, business units, regulatory agencies, and industry groups to ... risks are effectively managed and compliance objectives are achieved. In addition, ... in ensuring Humana's risk and..
Complex Claims Specialist - Program Law Duties: The candidate performs a combination of duties in accordance with departmental guidelines. Manages an inventory of moderate to high complexity and exposure commercial claims ..
... 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..
Job DescriptionAssists the Team Leader in all aspects of daily operations including profitability, expense control, buying, merchandising, labor, regulatory compliance and special projects as assigned. Leads and develops Team Members. All ..
Assistant General Counsel Duties: Negotiate, draft and review contracts on behalf of the firm, including client engagement agreements, independent contractor agreements, nondisclosure agreements, business associate agreements, data protection agreements, and vendor ..
Job ID 21000KZ7Available Openings 1PURPOSE 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 ..
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..