Contract Compliance Director Jobs in Portland

Description The Director, Business Intelligence solves complex business ... provide insight to decision-makers. The Director, Business Intelligence requires an in-depth ... function or segment. Responsibilities The Director, Business Intelligence describes..

Description The Director, Provider Reimbursement is responsible for ... team of associates. Responsibilities The Director, Provider Reimbursement develops and executes ... and surveillance techniques to ensure compliance with government regulations...

Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and ... manages the Dental Credentialing and Compliance team ensuring that dental providers ... Humana's Dental Networks operate in compliance with..

... The Lead Behavioral Health Medical Director oversees the work of 2 ... The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The Lead Medical..

Description The Director, IT Compliance audits the most complex new ... information systems procedures are in compliance with corporate standards. The Director, IT Compliance requires an in-depth understanding of .....

Description The Director, Group Provider Strategy partners with ... provider performance and health plan contract compliance. The Director, Group Provider Strategy requires an ... with contracting team to communicate contract..

Job Information Humana Director, Informatics in Portland Maine Description ... in Portland Maine Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..

Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... and Sunday. Responsibilities The Medical Director provides medical..

Description The Director, Group Provider Strategy partners with ... provider performance and health plan contract compliance. The Director, Group Provider Strategy requires an ... with contracting team to communicate contract..

Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..

... Job Description Summary The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Description The Medical..

Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... rotating basis Responsibilities The Medical Director provides medical..

Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern ... in Portland Maine Description The Director, Contract Tools, Education, Processes manages templates, ... best in class knowledge. The Director,..

Description The Director, Market Development provides support to ... to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Director, Market Development requires an in-depth ... proactive..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead will analyze business requirements, ... in a manner that minimizes compliance risk exposure for the Company. ... day-to-day..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors Responsibilities The Medical Director actively uses..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... include national clinical guidelines, Humana contract..