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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..
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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 Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market ..
Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
... sites required by regulatory agencies 2. Demonstrates a thorough knowledge and ... endoscopy sites, facilitating standardization and compliance to HLD standards. 5. Takes ... needed. 11. Maintain membership in..
... Nurse Practitioner is a licensed professional provider who functions in collaboration ... others. Serves as the focal professional for the continuity of care ... for scope within specialty or..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
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 Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..
... related issues; Meets established deadlines 1.2 Attends all departmental management meetings; ... of CTL policies or protocols. 2. Oversees CTL Quality Control, and ... Control, and technical competency programs..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians ... to ensure high accountability of compliance and quality. The Quality Assurance, ... quality. The Quality Assurance, Clinical..
... financial vision, direction, guidance and compliance to support successful physician operations. ... with the System's budget, tax compliance, physician compensation, business planning, financial ... and the broader health system...
... review, documents and summarizes findings. 2. Develop professional working relationships with payer representatives ... understand and resolve payer issues. 2.1 Coordinate with specialists to ensure ... maintaining department documentation..
... Information Humana Medicaid Associate Director, Compliance Nursing in Bridgeport Connecticut Description ... Connecticut Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... 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..
Job Information Humana Senior Accreditation Professional in Bridgeport Connecticut Description The ... Connecticut Description The Senior Accreditation Professional works in a team environment ... performing complex tasks related to compliance..
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 ..
Description The Senior Risk Management Professional will be responsible for managing ... Responsibilities The Senior Risk Management Professional will be dedicated to supporting ... responsible for developing a vendor 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..
