Healthcare Compliance Auditor Jobs in Charleston

Description The Senior Risk Management Professional will be responsible for managing third party risk management (TPRM) work streams to support Humana's overall TPRM Program. Responsibilities include risk identification, data analysis, process ..

Description The Senior Compliance Professional will help to reach ... Professional will help to reach compliance program objectives by ensuring compliance with governmental regulations and laws, ... business areas. Responsibilities..

Description The Risk Management Professional 2 a critical member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line of Defense function, will be responsible for maturing our program by ..

Job Information Humana Bilingual Quality Auditor in Charleston West Virginia Description ... Virginia Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..

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..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Exempt     POSITION SUMMARY: Create an outstanding customer experience by embracing the Customer 1st strategy and inspire associates to deliver excellent customer service. ..

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..

Description The Risk Management Professional 2 a critical member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line of Defense function, will be responsible for maturing our program by ..

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 Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..

... is looking for an experienced Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..

... looking for an experienced Senior Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..

Job Information Humana Clinical Auditor Registered Nurse Care Management or ... is completed. Conducts and summarizes compliance audits. Responsibilities The Clinical Auditor for the Care and or ... physician office,..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Exempt     POSITION SUMMARY: Create an outstanding customer experience by embracing the Customer 1st strategy and inspire associates to deliver excellent customer service. ..

Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..

Job Information Humana Licensed Behavioral Health Professional - Quality Audit in Charleston West Virginia Description Humana Healthy Horizons in Ohio is seeking a Licensed Behavioral Health Quality Audit Professional. This position ..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Virginia Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..

Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Charleston West Virginia Description The Senior Risk Management Professional a critical member within Humana's Third Party Risk ..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Exempt     POSITION SUMMARY: Create an outstanding customer experience by embracing the Customer 1st strategy and inspire associates to deliver excellent customer service. ..