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compliance director MRA coding Clinical The candidate will direct ... assessing audit preparedness Will lead compliance monitoring to identify process gaps ... to identify process gaps validate compliance levels map processes..
Description The Contract Administrator (Compliance Lead) ensures compliance with governmental requirements. The Compliance Lead works on problems of ... substantial. Responsibilities The Contract Administrator (Compliance Lead) will provide strategic guidance..
Job Information Humana Director Medicaid Provider Services (State of ... in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the ... data sharing, connectivity, documentation and coding, HEDIS and..
... and procedures to determine ongoing compliance Perform trading and best execution ... and enhancement of a full-scale compliance program Ability to work independently ... more experience in financial industry..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... for position. Responsibilities The Medical Director actively uses..
Job Information Humana Associate Director, Provider Data Interoperability in Cincinnati ... Medicaid operational business. The Associate Director, Provider Data Interoperability plans, coordinates ... The Provider Data Interoperability Associate Director will..
Communicate regulatory changes and trends with the client’s management team and their employees, representatives, etc. Perform and/or oversee periodic testing of written policies and procedures to determine ongoing compliance Perform trading ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Ohio license. Responsibilities The Medical Director actively uses..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..
CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL Founded in 1819, the University of Cincinnati embarks upon its third century - building on the past and defining the future ..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being ..
... and Risk Adjustment National Medical Director in Cincinnati Ohio Description The ... Interoperability, 2) serve as a coding expert to manage escalations or ... acumen, and industry-standard clinical /..
Compliance Director-MRA Coding/Clinical The candidate will direct projects, ... assessing audit preparedness. Will lead compliance monitoring to identify process gaps, ... to identify process gaps, validate compliance levels, map processes,..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors Responsibilities The Medical Director actively uses..