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Description The Senior Policy Governance Professional policy Governance is the combination ... Governance is the combination of Compliance processes established and executed that ... goals. The Senior Policy Governance Professional..
Description The Senior Risk Management Professional identifies and analyzes potential sources ... risk. The Senior Risk Management Professional work assignments involve moderately complex ... Responsibilities The Senior Risk Management Professional..
Description The Senior Risk Management Professional a critical member within Humana's ... a successful Senior Risk Management Professional candidate, we need you to ... practices to drive our vendor 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..
... of camaraderie, emphasizing friendly collaboration, professional support, and career development. Superior ... succeed and advance as a professional. Competitive compensation and exceptional benefits. ... with a healthcare leader. The..
Description The Market Development Professional 2 provides support to assigned health ... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. ... application submissions. The Market Development Professional..
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 ..
Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
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 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..
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 Responsibilities The Autism Care Demonstration (ACD) Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes storyboards, scripts, performance support, newsletters and notification letters. Analyzes learning needs and ..
Description The Senior Health Information Management Professional manages the process of Prescription Drug Event (PDE) error resolution, which includes partnering with Humana Pharmacy Solutions business areas and PDE stakeholders for process ..
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 Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
Job Information Humana HCS Compliance & Risk Management Quality Audit ... Quality Audit (QA) Risk Management Professional 2-Remote, US in Honolulu Hawaii Description ... Hawaii Description The Risk Management Professional..
... Information Humana Medicaid Associate Director, Compliance Nursing in Honolulu Hawaii Description ... Hawaii Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... Information Humana Senior Market Development Professional - Behavioral Health/Medicaid in Honolulu ... Description The Senior Market Development Professional provides support to assigned health ... Medicaid product implementation, operations, contract..
Description Responsibilities This position will maintain the Humana Military ACD website Autism Center of Excellence (CoE); ensuring educational information is current and relevant to training needs in addition to analyzing and ..
