Compliance Professional 2 Jobs in Cincinnati

Current UC employees must apply internally via SuccessFactors > http://bit.ly/UCEMPL   The University of Cincinnati is a premier, public, urban research university; ranked as one of America’s top 26 public research universities ..

  The Department of Neurology and Rehabilitation Medicine is seeking a full-time (32-40 hours per week) Research Nurse.  This position will apply professional knowledge, skills and training to help conduct research ..

Internal applicants must apply internally via SuccessFactors > http://bit.ly/UCEMPL   The University of Cincinnati is a premier, public, urban research university; ranked as one of America’s top 26 public research universities by ..

... and processes necessary to maintain compliance with NCQA and MMOC standards ... leadership to achieve and maintain compliance. Collect and analyze data daily, ... of SCM nurses queues for..

Description The Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of how organization capabilities ..

... Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description ... Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..

Description The Senior Risk Management Professional will be responsible for managing ... Responsibilities The Senior Risk Management Professional will be dedicated to supporting ... responsible for developing a vendor compliance..

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance..

Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

... population health goals and ensuring compliance with all contract, state, and ... local market lead for accreditation compliance. The Associate Director, Quality Improvement ... oversight of quality investigations and..

Description The Dental Director (part-time) provides dental interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Responsibilities The ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

... population health goals and ensuring compliance with all contract, state, and ... local market lead for accreditation compliance. The Associate Director, Quality Improvement ... oversight of quality investigations and..

Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... agreements. The Senior Provider Contracting Professional work assignments involve moderately complex ... Responsibilities The Senior Provider Contracting Professional..

Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..

Job Information Humana Senior Accreditation Professional in Cincinnati Ohio Description The ... Ohio Description The Senior Accreditation Professional works in a team environment ... performing complex tasks related to compliance..

... The Senior Health Information Management Professional ensures data integrity for claims ... The Senior Health Information Management Professional work assignments involve moderately complex ... The Senior Health Information Management..

Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where the ..