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Description Do you appreciate continuous learning and working in a team environment? Do you thrive in an environment in which you apply critical thinking skills and identify improvements or best practices? ..
Description The Internal Audit Associate Director is part of the senior leadership team within Internal Audit Consulting Group (IACG) and supports the strategic initiatives of the department and the management of ..
... 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..
Job Information Humana Bilingual Quality Auditor in Louisville Kentucky Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
... 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 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 The Cyber Data Protection Engineer 2 will conduct cyber security risk assessments on Third Parties to Humana or its subsidiaries using a pre-defined security questionnaire. The role will be responsible ..
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 Clinical Auditor Registered Nurse Care Management or Utilization Management in Louisville Kentucky Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. This ..
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 Information Humana Manager, Compliance - Agent Investigation Unit in ... Louisville Kentucky Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..
Location : US Type : Full-Time Salary : $19.00 - $23.00 / Hourly / DOE This is a full-time position that will be based from your home office, reporting to the ..
Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Louisville Kentucky Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..
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..
Description The Senior Cyber Data Protection Engineer will conduct cyber security risk assessments on Third Parties to Humana or its subsidiaries using a pre-defined security questionnaire. The role will be responsible ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Louisville Kentucky Description The Quality (Non-Calls) Professional 2 ensures that products ..
Description The Bilingual Senior Compliance Professional - Agent Investigations Unit ... Agent Investigations Unit (AIU) ensures compliance with governmental requirements, specifically those ... Humana plans. The AIU Senior Compliance Professional..
Job Information Humana Quality Assurance Audit Professional 2 in Louisville Kentucky Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join working remote ..
Job Information Humana Senior Compliance Registered Nurse in Louisville Kentucky ... Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory ... timely and accurately. Responsibilities Senior Compliance Nurse..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Louisville Kentucky Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..