Coding Compliance Jobs in Stonewall

... The Manager, Risk Adjustment oversees coding educators and quality assurance audits ... The Manager, Risk Adjustment oversees coding accuracy and the risk adjustment ... team of up to 11..

Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..

Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..

Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator manages claims operations that involve ..

... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..

Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..

Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..

Job Information Humana Associate Director, Provider Data Interoperability in Shreveport Louisiana Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..

Description Humana Health Horizons in Louisiana is seeking a Behavioral Health (BH) Children's System Administrator (Care Management Behavioral Health Lead) who will advise on program features to reach members and drive ..

Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Care Management(Behavioral Health) who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..

Description Humana Health Horizons in Louisiana is seeking a Behavioral Health (BH) Children's System Administrator (Care Management Behavioral Health Lead) who will advise on program features to reach members and drive ..

... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..

... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..

Description Humana Healthy Horizons in Louisiana is seeking a Manager, Care Management (Behavior Health) who will lead our behavioral health care management operations and staff to ensure timely and culturally-competent delivery ..

... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..

Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..

Job Information Humana Manager, Quality Compliance in Mansfield Louisiana Description Humana Healthy Horizons in Louisiana is seeking a Manager, Quality Improvement who will implement and monitor quality improvement program components, including ..

Job Information Humana Manager, Quality Compliance in Shreveport Louisiana Description Humana Healthy Horizons in Louisiana is seeking a Manager, Quality Improvement who will implement and monitor quality improvement program components, including ..

Job Information Humana Sr. DevOps Cloud Engineer in Shreveport Louisiana Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps workstyle ..

... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..

Job Information Humana Manager, Quality Compliance in Bossier City Louisiana Description Humana Healthy Horizons in Louisiana is seeking a Manager, Quality Improvement who will implement and monitor quality improvement program components, ..

Job Information Humana Senior Cloud Security Engineer (virtual remote) in Shreveport Louisiana Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..

Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Care Management(Behavioral Health) who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..