Compliance Assurance Manager Jobs in Birmingham

Regulatory Compliance Specialist IV The candidate manages ... support and maintain existing audit compliance efforts and regulatory compliance obligations, and to support program ... are being built to scale compliance..

Regulatory Compliance Specialist IV The candidate assists and supports the organization in complying with, as well as the ongoing preparation, testing and monitoring of conformance to, the requirements of government regulations ..

... leadership and direction on quality assurance, internal and external communications, security, ... communications, security, systems and process compliance testing Provides leadership to fulfill ... quality service delivery. Oversees quality..

Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... you succeed, we succeed! The Manager, Care Management oversees..

Job Information Centerwell RN Clinical Manager in Hoover Alabama The Clinical ... in Hoover Alabama The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..

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

Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..

Description Humana is a Fortune 60 market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being ..

Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's Provider Medicaid operational business. The Associate ..

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Birmingham Alabama Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

Job Information Humana Senior Formulary Operations Management Professional - Distribution Programs in Birmingham Alabama Description The Senior Distribution Programs Professional provides clinical and operational leadership for the development, maintenance, and publication ..

Description The Manager, Risk Adjustment oversees coding educators ... oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works..

Job Information Humana UM Medical Director - Conviva in Birmingham Alabama Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

JOB SUMMARYResponsible for overall fulfillment operations of the system locations from the tap to the home across the assigned area. Responsible for providing direction and leadership to fulfillment and contractors while ..

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 ..

Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Birmingham Alabama Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..

Description This role will strengthen our Insurance Product Delivery Management Team to drive end-to-end Insurance Product projects cooperating closely with our Product Strategy, Enablement, Finance, IT, Compliance and Sales / Account ..

This is a remote based position. Applicants can be located nationwide Status Full-time Job Description Who We Are: Signature Performance is working hard at lowering healthcare administrative costs for federal government ..

This is a remote based position. Applicants can be located nationwide Status Full-time Job Description Who We Are: Signature Performance is working hard at lowering healthcare administrative costs for federal government ..

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..

Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..