Clinical Quality Compliance Manager Jobs in Hammond

... Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, ... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization..

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

Description The Program Manager, OTC Formulary will work closely ... programs and verify that product quality does not negatively impact the ... over-the-counter formulary that balances product quality with program..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... Member Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve as ... documentation. Complete required audits..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... 2 has responsibilities for performing clinical audits on medical record documentation ... on medical record documentation for quality and clinical..

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Chicago ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..

... Our expanding portfolio delivers measurable clinical and economic value and opens ... patients. We're committed to applying clinical and economic evidence and integrated ... At Medtronic, the District Sales..

... world in the delivery of high-quality patient care. n We accomplish ... to the Highest Standards of Quality n Relentless Innovation n Operational ... Keep up-to-date on all product,..

Job Information Humana Associate VP, Quality Improvement in Chicago Illinois Description ... Chicago Illinois Description The AVP, Quality Improvement and Performance will develop, ... and maintain performance under HGB's Clinical..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

... needs and priorities. Utilizes advanced clinical judgment and critical thinking skills ... Members: Through the use of clinical tools and information/data review, conducts ... and external programs/services. - Applies..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies ... HPS executive leaders, Trade Relations, Clinical, Analytics, Actuaries, and Operation functions ... strategies. Responsibilities The Director, Pharmacy Clinical Formulary..

Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager work assignments involve moderately complex ... variable factors. Responsibilities Humana's Health Quality and..

... Humana Associate VP, Health Plan Quality Improvement and Performance in Chicago ... towards value-based relationships and/or improved quality metrics. The Associate VP, requires ... and/or enterprise-wide. Responsibilities The AVP,..

The Team Manager is the leader of the ... and mentor for staff re clinical issues, documentation, inter- and intra- ... additional expenses. n nQuality Improvement/Regulatory Compliance n n Monitors..

Description The Project Manager manages all aspects of a ... and within budget. The Project Manager work assignments are varied and ... action. Responsibilities As a Project Manager you will..

... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Chicago ... Chicago Illinois Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... The Associate VP for Healthcare..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... patient care while maintaining cost-effective..

... allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures ... a timely manner and answers non-clinical questions to ensure a positive ... to delegate, direct, and assign..

... years of post-graduate teaching and/or clinical experience required providing Art Therapy ... services to various populations.u003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eCertifications/Licenses: u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eLicensed Clinical Psychologist (LPC) or Master level ... Psychologist (LPC) or Master level..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... patient care while maintaining cost-effective..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... patient care while maintaining cost-effective..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Chicago Illinois Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..