Healthcare Compliance Specialist Jobs in South Dakota | HealthcareCrossing.com


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40

Healthcare Compliance Specialist Jobs in South Dakota

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Company
**********
Location
Aberdeen, SD
Posted Date
Jun 20, 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
**********
Location
Aberdeen, SD
Posted Date
Sep 16, 2021
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Aberdeen, SD
Posted Date
Feb 11, 2022
Info Source
Employer  - Full-Time  90  

... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and meets..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Aug 31, 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
Aberdeen, SD
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana FP&A Lead, Medicaid Market in Aberdeen South Dakota Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

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

... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..

 
Company
**********
Location
Aberdeen, SD
Posted Date
May 13, 2022
Info Source
Employer  - Full-Time  90  

... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..

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

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Feb 19, 2022
Info Source
Employer  - Full-Time  90  

... with a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and meets..

 
Company
**********
Location
Aberdeen, SD
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
Aberdeen, SD
Posted Date
Mar 24, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Aberdeen South Dakota Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Mar 21, 2022
Info Source
Employer  - Full-Time  90  

... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Sep 23, 2022
Info Source
Employer  - Full-Time  90  

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

 
Company
Humana Inc.
Location
Aberdeen, SD
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

 
Company
Humana Inc.
Location
Aberdeen, SD
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Aberdeen, SD
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..

 
Company
Humana Inc.
Location
Aberdeen, SD
Posted Date
Apr 15, 2023
Info Source
Employer  - Full-Time  90  

... and analytical approach. Must support compliance related functions under the UMAC ... manages attendance, schedules, assignments, and compliance expectations to ensure adequate coverage ... the business need and maintain..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Sep 30, 2022
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..

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

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

... social determinants and obtaining timely healthcare. The Lead Medical Director provides ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... to BH..

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