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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..
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... 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 Humana Healthy Horizons in Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible for overseeing the development and implementation of Humana Medicaid's Addiction Services in Louisiana, serving ..
... community resources. Each Quality Audit Professional 2 will be assigned to specific ... a preliminary overview of completed compliance audits. Outreach to members and ... in Louisiana's Medicaid Regions..
... Coordinator understands own work area professional concepts/standards, regulations, strategies and operating ... guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Responsibilities ... (SDOH) Coordinators (Care Management Support..
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..
... care, services, and supports in compliance with Louisiana Department of Health ... policies and procedures to ensure compliance with state and federal requirements ... and provide regular opportunities for..
... comprehensive case management environment. Assure compliance with mandated and corporate policies ... multiple managers and highly specialized professional associates. Oversees the assessment and ... and well-being of members. Maintain..
... policies and procedures to ensure compliance with state and federal requirements ... and provide regular opportunities for professional development. Influence and assist corporate ... in Louisiana and is in..
... Housing Specialist (Care Management Support Professional 1)contributes to administration of care ... members. The Care Management Support Professional 1 work assignments are often ... leadership Coordinate with the Chief..
... Community Health Worker/Care Management Support Professional 1 contributes to administration of ... members. The Care Management Support Professional 1 work assignments are often ... visits as requested Monitor enrollee..
... (EBPs). Ensures adherence to and compliance with all federal and state ... in Louisiana and is in compliance with the requirements of one ... Clinical Social Workers (LCSWs), Licensed..
... community resources. Each Quality Audit Professional 2 will be assigned to specific ... a preliminary overview of completed compliance audits. Outreach to members and ... in Louisiana and is..
