Healthcare Compliance Auditor Jobs in Providence, Rhode Island | HealthcareCrossing.com


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19

Healthcare Compliance Auditor Jobs in Providence

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Company
**********
Location
Newport, RI
Posted Date
Mar 21, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Newport, RI
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

... Information Humana Medicaid Associate Director, Compliance Nursing in Newport Rhode Island ... Island Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

 
Company
**********
Location
Newport, RI
Posted Date
Mar 25, 2021
Info Source
Employer  - Full-Time  90  

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..

 
Company
**********
Location
Newport, RI
Posted Date
Aug 29, 2022
Info Source
Employer  - Full-Time  90  

... 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,..

 
Company
**********
Location
Newport, RI
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... 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,..

 
Company
**********
Location
Newport, RI
Posted Date
Nov 26, 2022
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 07, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Newport Rhode Island Description The Senior Risk Management Professional a critical member within Humana's Third Party Risk ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Sep 14, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
May 16, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Newport, RI
Posted Date
Mar 12, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Oct 25, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

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..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Oct 06, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Newport, RI
Posted Date
Jun 11, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Jun 22, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Jun 03, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Bilingual Quality Auditor in Newport Rhode Island Description ... Island Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Apr 25, 2022
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Newport, RI
Posted Date
Mar 04, 2022
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Newport, RI
Posted Date
May 02, 2022
Info Source
Employer  - Full-Time  90  

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..

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