Compliance Professional 2 Jobs in Springfield

... 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..

... 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 Senior Quality Compliance Nurse Professional is an integral part of ... projects. Responsibilities The Senior Quality Compliance Nurse Professional will partner with The Ohio ... as directed. The..

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 ..

... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... and provide regular opportunities for..

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). ..

Job Information Humana Care Guide - Physical Health in Springfield Ohio Description The Care Guide (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..

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 ..

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 ..

... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... and provide regular opportunities for..

... 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..

At Nova our mission is To Provide Individuals and Families Opportunity for Positive Change. We accomplish this mission by our vision, To provide specialized, evidenced-based treatment, which is continuously responsive to ..

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 Post Anesthesia Care Unit Registered Nurse for an exciting Travel Nursing job in Dayton, OH. Shift: 5x8 hr days Start Date: 04/04/2022 Duration: 13 weeks ..

... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... and provide regular opportunities for..

Company Overview: Job Description: Are you passionate about dental health and helping patients maintain their gleaming smiles? Do you love educating and encouraging others on the best ways to take care ..

... Care Manager, Licensed Behavioral Health Professional or Registered Nurse in Springfield ... Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses ... Field Care Manager, Behavioral Health..