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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 ..
Description The Quality Audit Coordinator 2 analyzes and investigates quality issues. The Quality Audit Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine ..
... activities, along with partner with compliance to address all corporate compliance requirements. Successful candidates will be ... maintaining the Governance, Risk and Compliance (GRC) program. Assist with IT .....
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..
... 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 Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Charlotte North Carolina Description The Quality (Non-Calls) Professional 2 ensures that ..
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 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 ..
Requisition Number: 89246 JOB DESCRIPTION Cintas is seeking a Production Associate (Quality Auditor). Responsibilities include inspecting products, making decisions regarding quality requirements, tagging/identifying defects for repairs or upgrades, removing defective products, ..
Job Information Humana Quality Assurance Audit Professional 2 in Charlotte North Carolina Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join working ..
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 Operational Assurance (OA) Partner Compliance and Risk Management team. The ... the program office and the Compliance team. You will be performing ... data and evidence to confirm..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Charlotte North Carolina Description The Quality (Non-Calls) Professional 2 ensures that products meet specific ..
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 ..
Job Information Humana Bilingual Quality Auditor in Charlotte North Carolina Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
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 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 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..
Internal Auditor III (Director of Internal Auditing) (60087975) Internal Auditor III (Director of Internal Auditing) (60087975) Employer North Carolina Community Colleges System Office 200 West Jones Street Raleigh, NC 27603 Phone: ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... North Carolina Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..
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 Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Charlotte North Carolina Description The Medical Coding Auditor reviews medical claims submitted against medical records ..