Healthcare Compliance Jobs in Pennsylvania

Description Healthcare Business Continuity Analyst- ITIL **Must ... store information. 3. Support all compliance activities related to state, federal ... to state, federal regulatory requirements, healthcare accreditation standards, and all..

... Information Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania Description ... Pennsylvania Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..

... Information Humana Senior Insurance Product Compliance Professional in Pittsburgh Pennsylvania Description ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

... leader. If you haven't considered Healthcare before, read on as we ... as we think you should. Healthcare Experience is NOT required. For ... year after year. As a..

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..

Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..

... Humana Automated Dispensing System (ADS) Compliance Technician in Pittsburgh Pennsylvania Description ... and promoting operational and regulatory compliance in the hospice IPU ADS ... System (ADS) clients surrounding override..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..

... to ensure operations are in compliance with all applicable local, state, ... while minimizing bad debt in compliance with company policies and procedures, ... data accuracy and integrity in..

Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..

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..

Job Information Humana Senior Compliance Registered Nurse in Pittsburgh Pennsylvania ... Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory ... timely and accurately. Responsibilities Senior Compliance Nurse..

Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

Job Information Humana Compliance Lead - Illinois Medicaid in ... in Pittsburgh Pennsylvania Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....

... Information Humana Actuary, Risk and Compliance in Pittsburgh Pennsylvania Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..

Healthcare Superintendent - Pittsburgh The Healthcare Superintendent leads, directs and coordinates ... and/or Turner trade labor on healthcare projects. The Superintendent is responsible ... as required and ensuring subcontractor compliance..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..

Description The CCM Compliance Professional 2 ensures compliance with governmental and contractual requirements. ... and contractual requirements. The CCM Compliance Professional 2 work assignments are ... of action. Responsibilities The..

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..

... leader. If you haven't considered Healthcare before, read on as we ... as we think you should. Healthcare Experience is NOT required. For ... year after year. As a..

Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..