Compliance Jobs in West Virginia

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 ..

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 ..

Requires Associates Degree in Child Development, Early Childhood Education, or related field; 2 years working with children/families in education or human services field; knowledge of service delivery area; knowledge of WV ..

Requires Associates Degree in Child Development, Early Childhood Education, or related field; 2 years working with children/families in education or human services field; knowledge of service delivery area; knowledge of WV ..

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..

Requires Associates Degree in Child Development, Early Childhood Education, or related field; 2 years working with children/families in education or human services field; knowledge of service delivery area; knowledge of WV ..

Job Information Humana Bilingual Quality Auditor in Charleston West Virginia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..

Job Information Humana Senior Compliance Registered Nurse in Charleston West ... 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 Charleston West Virginia Description The Medical Coding Auditor reviews medical claims submitted against medical records ..

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 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 ..

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 ..

Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Charleston West Virginia Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. ..

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 ..