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... 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 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..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
... multiple managers or highly specialized professional associates. Primary Responsibilities include: Direct ... requirements through participation in proactive compliance monitoring. Ensure the Medicare Care ... growth and evolution as a..
... Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in ... Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex ... variable factors. Responsibilities The Senior..
TRS Healthcare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Duluth, MN. Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $3753.36/Week ..
TRS Healthcare is seeking an experienced Operating Room Registered Nurse for an exciting Travel Nursing job in Duluth, MN. Shift: 5x8 hr flex Start Date: ASAP Duration: 12 weeks Pay: $3874.02/Week ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
... multiple managers or highly specialized professional associates. Primary Responsibilities include: Direct ... requirements through participation in proactive compliance monitoring. Ensure the Medicaid Care ... growth and evolution as a..