Compliance Monitor Jobs

Deputy General Counsel The candidate will be responsible for assisting the Chief Legal Officer/General Counsel and outside counsel in legal matters arising from all aspects of the Company’s activities, with particular ..

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..

... and value, while also managing compliance with network requirements, including network ... well as market intelligence information. Monitor network adequacy data to inform ... proactively identify network issues, ensure..

... procedures, and training and in compliance with regulations set forth by ... by physician order or as directed.Monitor patients’ response to dialysis therapy. ... systems incorporated into training, including..

Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff to ..

Job Information Humana Manager, Care Management(Behavioral Health) - Ohio Medicaid in Maumee Ohio Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management who will lead our behavioral health ..

... procedures, and training and in compliance with regulations set forth by ... by physician order or as directed.Monitor patients’ response to dialysis therapy. ... systems incorporated into training, including..

... 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..