Compliance Jobs in Tennessee

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 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 ..

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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..

,AnswerValue:u003cpu003eu003cstrongu003eBuild a Bigger, Better, Bolder Futureu003c/strongu003eu003cbru003eImagine working for a company that measures its success based off the growth of its colleagues, a company that invests in its future by investing in ..

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..

Senior Internal Auditor The Senior Internal Auditor will add value and improve operations by bringing a systematic and disciplined approach to the effectiveness of risk management, control, and governance processes. The ..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Brentwood Tennessee Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..

Inpatient Hospital Coding Compliance Auditor The Inpatient Hospital Coding Compliance Auditor will provide expert auditing services across various hospitals for Inpatient services.  Review documentation and related coding of inpatient services, auditing ..

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 Manager, Compliance - Agent Investigation Unit in ... Brentwood Tennessee Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..

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 Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Brentwood Tennessee Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..

... 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 Brentwood Tennessee Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Brentwood Tennessee Description The Quality (Non-Calls) Professional 2 ensures that products ..

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 ..

... 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)..

Company Name: Kroger Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Responsible for researching and analyzing Direct Store Delivery vendor invoice disputes. Perform internal research on Direct Stores Delivery invoices including ..

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? ..

Job Information Humana Quality Assurance Audit Professional 2 in Brentwood Tennessee Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join working remote ..

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 ..

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 ..