Regulatory Compliance Specialist Jobs in Rhode Island

Regulatory Compliance Specialist IV The candidate manages an ... support and maintain existing audit compliance efforts and regulatory compliance obligations, and to support program ... in alignment with industry and..

Regulatory Compliance Specialist IV The candidate assists and ... requirements of government regulations and/or regulatory agencies. Performs evaluation of internal ... of documentation as related to regulatory compliance and recommends..

Principal Compliance Specialist The candidate maintains and enhances ... in support of the overall compliance program components. Assists with researching ... program components. Assists with researching regulatory compliance requirements and..

Principal Compliance Specialist Duties: Maintains and enhances department ... in support of the overall compliance program components. Assists with researching ... program components. Assists with researching regulatory compliance requirements and..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Principal Compliance Specialist, Corporate Functions and Payment Duties: ... assists with the research of regulatory compliance requirements and evaluating the adequacy ... identification, assessment, and communication of compliance program risks..

... Information Humana Actuary, Risk and Compliance in Newport Rhode Island Description ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead will analyze business requirements, ... business requirements, provide research and regulatory interpretation, and advise internal business ... in..

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 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..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of ... & Analytics to ensure continued compliance through innovative product offerings and ... and..

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..

... 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..

Description Job Description Summary 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 ..

... and or multi-sites. Assures its compliance with established environmental, safety, operating, ... and wastewater system and ensures compliance with operational, QA/QC, safety, environmental, ... Administers labor agreements to ensure..

... business areas to drive operational compliance. Humana is seeking a Risk ... will drive operational excellence, advance compliance results, and confirm audit readiness ... with business areas, Market leaders,..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description This role is on the Humana At Home Special Needs Plan Compliance Review team within Home Solutions Compliance and Risk Management. The Quality Assurance Professional 2 performs audits to establish ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

Job Description Health is everything. At CVS Health we are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we're helping people on their ..

... in accordance with company and regulatory requirements. May perform specialized analysis ... the laboratory as directed for compliance with company hygiene plans. Assists ... proper analytical methods required for..

... 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..

Description The Lead, IT Compliance assesses the most complex new ... systems procedures follow corporate standards, regulatory requirements, and best practice frameworks. ... practice frameworks. The Lead, IT Compliance works..