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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Description The Senior IT Compliance Professional audits the most complex ... information systems procedures are in compliance with corporate standards. The Senior ... corporate standards. The Senior IT Compliance Professional..
Description The Lead, IT Compliance audits the most complex new ... information systems procedures are in compliance with corporate standards. The Lead, ... corporate standards. The Lead, IT Compliance works..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Columbia Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..
... control environment. Responsibilities The IT Compliance Professional 2 works with all ... information systems procedures are in compliance with industry and corporate standards. ... of IT Risk Governance and..
... Brokers is looking to hire Compliance Sanctions Testing Analysts for a ... considered. Analysts will report to Compliance Managers from Sanctions and Quality ... area for testing of Sanctions..
... of the Senior IT Internal Auditor includes these and more! The ... more! The Senior IT Internal Auditor develops, directs, plans and evaluates ... and related procedures to ensure..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Of Columbia Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..
... including the Global Quality and Compliance Review (GQ&CR) methodology, process enhancement ... emerge from GRMG strategy sessions, Compliance Risk Assessment or other activities; ... (SMPs) focusing on risk and..
Job Number: R0118568 IT Audit Lead The Challenge Provide auditing and compliance duties including Audit Readiness Support to the client. Continually analyze the client's overall enterprise audit readiness process design and ..
Job Information Humana Bilingual Quality Auditor in Washington District Of Columbia ... Columbia Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..
... 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)..
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..
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..
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..
... Marketing Operations team, the QA Auditor reviews marketing communications for accuracy ... the accuracy review , the auditor uses proof reading skills and ... the adherence review , the..
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..
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 ..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
