Contract Compliance Officer Jobs in Ridgeland

Health Plan Compliance Officer Responsibilities: Serve as key point ... with the health plan regarding Compliance issues, Regulatory Audits and Corrective ... Actions. Develop and manage site Compliance Oversight Committee..

Description The Financial Planning & Analysis Lead analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The Financial Planning & Analysis ..

Description Responsibilities The TRICARE Community Liaison (TCL) 2 is a customer-facing Humana Military associate who is knowledgeable, professional and courteous. This role interacts with TRICARE beneficiaries; Medical Treatment Facility (MTF) and ..

Job Information Humana Medical Director of Long Term Care, Florida in Ridgeland Mississippi Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member outcomes, ..

Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Ridgeland Mississippi Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..

Description The Manager, Compliance - Medicaid State Reporting ensures ... - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager, Compliance - Medicaid..

Description The Senior Risk Adjustment or Market Development Professional provides support relative to Medicaid risk adjustment product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market Development Professional ..

... Clinical Operations and Chief Clinical Officer of Kindred at Home, you ... Clinical Operations and Chief Clinical Officer of Kindred at Home, you ... performance, policies and procedures, ensuring..

... and value, while also managing compliance with network requirements, including network ... Health of Medicaid Managed Care Contract. The Lead will support the ... proactively identify network issues, ensure..

Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

... general business operations to ensure contract performance is consistently within expected ... in accordance with Humana Military contract performance standards. Conducts presentations tailored ... updates necessary to meet monthly..