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Description The Compliance (UM) Lead conducts and summarizes compliance audits. The Compliance (UM) Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance (UM) ..
Description The Senior Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Senior Compliance ..
... ensures that all state audits, reporting, and examinations are performed in ... NIPR online system. Responsible for regulatory communication relating to licensing, including ... including but not limited to..
Description The Compliance (UM) Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
Description The Senior Compliance (UM) Professional conducts and summarizes compliance audits. The Senior Compliance (UM) Professional work assignments involve moderately complex to complex issues where the analysis of situations or data ..
... from moderate to substantial utilizing reporting and analytics. Exercises independent judgment ... compliance program which includes metrics, reporting, issue tracking and resolution, and ... as a technical leader for..
Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Tampa Florida Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..
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 Conviva, a wholly-owned subsidiary of Humana, Inc., ..
Description Humana is seeking a Software Entitlement and Compliance Specialist who will be accountable for partnering with specific business areas to support both hardware and software asset management processes including full ..
