Compliance Professional 2 Jobs in Clearwater

... The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the ... The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex ... The Senior Medical/Financial Risk Evaluation..

Description The Compliance Manager ensures compliance with governmental requirements. The Compliance Manager works on problems of ... moderate to substantial. Responsibilities The Compliance Manager develops and implements compliance policies and..

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

Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..

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 CCM Compliance Professional 2 ensures compliance with governmental and contractual requirements. ... and contractual requirements. The CCM Compliance Professional 2 work assignments are varied and ... of action...

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

... seeking an Associate Director, Quality Compliance Nursing that works with physicians/physician ... to ensure highest accountability of compliance and quality. The Associate Director, ... quality. The Associate Director, Quality..

Description The Health Information Management Professional 2 ensures data integrity for claims ... errors. The Health Information Management Professional 2 work assignments are varied and ... Responsibilities The Health Information..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ... variable factors. Responsibilities Seeking..

... Information Humana Senior Stars Improvement Professional- Nurse (FL RN, Medicare/Medicaid, Clinical ... Description The Senior STARS Improvement Professional role focuses on clinical and ... Responsibilities The Senior STARS Improvement..

Description The Quality Compliance Professional 2 completes annual quality reviews and ... reviews and research. The Quality Compliance Professional 2 work assignments are varied and ... of action. Responsibilities The..

Job Information Humana Provider Contracting Professional 2 - Work at Home in ... assigned providers. Responsible for the compliance of required trainings, Claims collections ... outgoing and results-driven Provider Contracting..

Job Information Humana Compliance Nurse - Conviva - Remote, ... and more productive in their professional and personal lives. We encourage ... industry as a whole. The Compliance Nurse 2..

Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..

... and more productive in their professional and personal lives. We encourage ... industry as a whole. The Compliance Nurse 2 reviews utilization management activities and ... fraud, waste, and..

Description The Grievances & Appeals Professional 2 manages client medical denials by ... warranted. The Grievances & Appeals Professional 2 work assignments are varied and ... Responsibilities The Grievances &..

PURPOSE AND SCOPE:The Patient Enrollment Coordinator enters the patient enrollment data into database that is received via fax, email, phone, or postal service. The incumbent opens, edits, and maintains patient profiles. ..

Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Tampa Florida Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..

Description The Compliance Nurse 2 reviews utilization management activities and ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are varied and ... appropriate courses of action. The..

Description The Senior Accreditation Professional works in a team environment ... performing complex tasks related to compliance with accreditation standards across multiple ... Home Anywhere The Senior Accreditation Professional works..

Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk ... clinics including serving as a compliance subject matter expert for revenue ... value-based care programs. The Senior..

... Information Humana Senior Insurance Product Compliance Professional in Tampa Florida Description The ... Description The Senior Insurance Product Compliance Professional Performs consultation and research for ... development. The Senior..