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Description Reports directly to the Vice President, Medical Management Operations and serves as a member of the HGB Executive Committee. Leads functions related to HGB's Care Management programs to include predictive ..
Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Description The Senior Vehicle Fleet Management Professional operates and maintains motor vehicles and equipment. Schedules and dispatches the organization's vehicles and drivers. The Senior Vehicle Fleet Management Professional work assignments involve ..
Description The Supervisor, Care Management Support contributes to ... and wellbeing of members. The Supervisor, Care Management Support works within ... and analytical approach. Responsibilities The Supervisor, Care Management Support..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..
Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..
Job Information Humana Director, Informatics in Ridgeland Mississippi Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
Description We are looking for an experienced leader who will be responsible for providing support of defined security and compliance requirements, adoption of security best practices for public cloud(s), and implementation ..
Description The Supervisor, UM Administration contributes to administration ... administration of utilization management. The Supervisor, UM Administration works within thorough, ... you succeed, we succeed! The Supervisor, UM Administration contributes..
Job Information Humana Supervisor, UM Administration-Remote in Ridgeland Mississippi ... in Ridgeland Mississippi Description The Supervisor, UM Administration contributes to administration ... administration of utilization management. The Supervisor, UM Administration..
Description The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts or facilitates learning experiences for Humana Military associates and/or external audiences. The LFP2 creates an environment that is conducive to learning ..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... and analytical approach. Responsibilities The Supervisor, Compliance..
... procedures, and training and in compliance with regulations set forth by ... are incorporated into training, including compliance with ethical business practices. PATIENT ... condition directly to the nurse..
Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for final distribution all medical records ..
Description The Compliance (UM) Coordinator 3 conducts and ... Coordinator 3 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 3 performs advanced ... Assist ADS Implementation & Support Supervisor..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
