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WHS Governance and Compliance Manager The candidate will be ... interacts with safety and health regulatory agencies. Subject matter expertise in ... expertise in all aspects of regulatory interactions ranging..
Description The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... for well-being Responsibilities The Senior..
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..
... of EMR systems to ensure compliance with industry standards and regulatory requirements Identify and address technical ... software to ensure security and compliance with HIPAA regulations Oversee the .....
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Paralegal I Duties: Conduct legal research, investigate issues and drafts/prepare legal documents to support attorneys and contract administrators. Support all aspects of document discovery, including e-discovery, document management, the litigation hold ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Troy Michigan Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Job Information Humana Senior Compliance Registered Nurse in Troy Michigan ... Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory ... timely and accurately. Responsibilities Senior Compliance Nurse..
... 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..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
... Information Humana Medicaid Associate Director, Compliance Nursing in Troy Michigan Description ... Michigan Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Troy Michigan Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..
Job Information Humana Assistant General Counsel, Home Solutions in ... in Troy Michigan Description The Assistant General Counsel provides a full ... legal advice and services. The Assistant General Counsel..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Job Information Humana Compliance (UM) Coordinator 2 in Troy ... in Troy Michigan Description The Compliance (UM) Coordinator 2 conducts and ... Coordinator 2 conducts and summarizes compliance audits. The..
Description The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts or facilitates learning experiences for Humana Military associates and/or external audiences. The LFP2 creates an environment that is conducive to learning ..
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..
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 .....