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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..
... of the MRA team, the Manager will work closely with market ... based on advanced knowledge/experience. The Manager, Risk Adjustment works within specific ... approach, resources, schedules and goals.The..
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..
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 Colorado Springs Colorado Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
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 Associate Director, Provider Data Interoperability in Colorado Springs Colorado Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..
Department: KS Meat/Seafood Post End Date: Position Type: Employee Position Reports To: Store Management Position Supervises: N/A Pay Level: FLSA Status: Non-Exempt POSITION SUMMARY: Embrace the Customer 1st strategy to create ..
Job Information Humana Senior Formulary Operations Management Professional - Distribution Programs in Colorado Springs Colorado Description The Senior Distribution Programs Professional provides clinical and operational leadership for the development, maintenance, and ..
Description The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on problems of diverse scope and ..
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 ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Colorado Springs Colorado Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
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 ..
... immediate support to the Assistant Manager of Quality in monitoring plasma ... center processes to ensure overall compliance with CSL Operating Procedures, as ... requirements. This role will ensure..
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 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 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 UM Medical Director - Conviva in Colorado Springs Colorado Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
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..
