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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..
... and Advisory Services. The Coding Auditor ensures that coding compliance initiatives are met for our ... and other factors. The Coding Auditor will have the following responsibilities: ... following..
Description The Claims Quality Audit Representative 3 audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. The Claims Quality Audit Representative 3 performs advanced administrative/operational/customer ..
Job Summary The Staff Auditor II conducts audits pertaining to ... reporting of results. The Staff Auditor II, working under the direction ... auditors in addressing testing and compliance issues...
Description The DRG Validation Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... action. Responsibilities The DRG Validation Auditor confirms..
A key dimension of this role will be to coordinate with the Audit Managers and other team members to execute the audit process, including risk assessment, planning, audit execution and reporting ..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / ... for a talented risk and compliance expert to help build a ... IT leaders to ensure Humana's compliance..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Atlanta Georgia Description The Quality (Non-Calls) Professional 2 ensures that products ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Atlanta Georgia Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..
The Healthcare Compliance Audit Manager position will require ... in many facets of healthcare compliance (manufacturing, receipt, distribution, warehousing, order ... in an effort to ensure compliance with internal policies..
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..
... IS&T Director, Governance Risk & Compliance is responsible for the implementation ... business leaders, LOB Data Managers Compliance, Risk, and Audit on data ... Enterprise Governance, Risk Management and..
Responsibilities Plan and oversee the auditing process Allocate responsibilities to junior and staff auditors Review team members work for accuracy and compliance Perform effective risk and control assessments Complete audits on ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being ..
Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..
... the Company's Section 404 (SOX) compliance efforts, including General IT controls. ... of the organization to ensure compliance with the organization's policies, procedures ... to execute on Sarbanes-Oxley (SOX)..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Atlanta Georgia Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..
Job Information Kindred at Home Senior Internal Auditor - Remote in Atlanta Georgia This position is remote and can be based anywhere in the United States. The Senior Internal Auditor makes ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Georgia Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..
Job Information Humana Bilingual Quality Auditor in Atlanta Georgia Description The ... Georgia Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..
... to the Associate Vice President, Compliance on the national Medicaid Clinical ... Utilization Management and Care Management Compliance Audit team to assure high ... state clinical leaders, quality, regulatory..
A key dimension of this role will be to coordinate with GE Power Audit Managers and other team members to execute the audit process, including risk assessment, planning, audit execution and ..
Reemployed annuitant: This vacancy does not meet the criteria for appointment of annuitants. Overview Accepting applications Open & closing dates Opening and closing dates 03/18/2022 to 04/01/2022 Salary $94,373 - $138,868 ..