Regulatory Policy Specialist Jobs in Charleston

... others as assigned. The 9-1-1 Specialist will work in conjunction with ... Management, 9-1-1 Customer Care Center, Regulatory and all related Frontier internal ... agreements and expectations. The 9-1-1..

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 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 ..

Principal Compliance Specialist The candidate maintains and enhances department or functional units in support of the overall compliance program components. Assists with researching regulatory compliance requirements and evaluating the adequacy of ..

Immigration Paralegal (Remote) Date: Dec 17, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment to innovation that lies at ..

Description The Supervisor, 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 Supervisor, Compliance ..

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 ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Charleston West Virginia Description The Fraud and Waste Professional 2 conducts investigations of allegations ..

Principal Compliance Specialist Duties: Maintains and enhances department or functional units in support of the overall compliance program components. Assists with researching regulatory compliance requirements and evaluating the adequacy of business ..

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 ..

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Charleston West Virginia Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent ..

Description The Lead, IT Compliance assesses the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..

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 ... business in operationalizing legal and regulatory requirements inherent in..