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Regulatory Compliance Specialist IV The candidate manages an ... existing audit compliance efforts and regulatory compliance obligations, and to support ... in alignment with industry and regulatory requirements and expectations...
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..
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 appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Legal Counsel - Bank Regulatory and Treasury Services Duties: The candidate will work extensively with the team to provide comprehensive support, advice and guidance on the ever-evolving legal and regulatory landscape ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Portsmouth New Hampshire Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Portsmouth New Hampshire Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent ..
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..
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 ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
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 Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. This role will focus on Humana's ..
Description The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance Lead (SNP) ..
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 ..
... the Company's local government and regulatory affairs, and community impact operations. ... awareness of government legislation and/or regulatory issues that affect the organization ... following reports to state and..
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 ..
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 ..
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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 Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, ..