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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..
TODAY… YOU ARE THE MOST IMPORTANT DECISION WE WILL MAKE!!! When you choose to work for Compass, you will be joining a fantastic company with a great team of employees dedicated ..
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 Bilingual Quality Auditor/ Professional 2 ensures that products meet specific ... accuracy. Responsibilities Bilingual Quality Auditor/ Professional 2 Analyze Grievance/Appeals case information to ... Grievance/Appeals case information..
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 ..
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..
Work type: Full Time Administrative Location: Fort Wayne, IN Categories: Academic Advising/Academic Support General Description of Position: Provide developmental academic advising for new and continuing students using a case management approach. ..
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). ..
... your personal attention and kindness, professional insight, and a generosity of ... the best possible outcomes and professional satisfaction. While our extensive organization ... of camaraderie, emphasizing friendly collaboration,..
DescriptionFulfill the goals of our organization as well as the needs of our patients. Apply your skills to achieve results of a truly rewarding nature. Allow others to live more satisfying ..
... 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..
