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... applicability of laws, regulations, and regulatory guidance for Commercial and Provider ... 5 years of experience in regulatory quality assurance and analytics (or ... skills Demonstrated ability to analyze..
Description The Compliance Professional 2 (CP2) develops and implements compliance policies and procedures, researches compliance issues and recommends changes that ensure Humana is compliant with contractual obligations with a focus on ..
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Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Louisville Kentucky Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Description The Director, Business Intelligence solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Director, Business Intelligence requires an in-depth understanding ..
Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and Compliance team ensuring that dental providers are Credentialed/Re-credentialed according to CMS and State guidelines and that Humana's Dental Networks operate in ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Louisville Kentucky Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..