Director Clinical Quality Compliance Jobs in Charlotte

Job Information Humana Medicaid Associate Director, Compliance Nursing in Charlotte North Carolina ... North Carolina Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..

Description The Director, Health Services utilizes clinical nursing skills to support the ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... segment. Responsibilities The SC Medicaid..

Description The Director, Strategy Advancement provides data-based strategic ... along the way. Responsibilities The Director, Retail Strategy & Product Advancement ... corporate vision, as well as compliance and regulatory expectations..

Description The Director, Physician Leadership relies on medical ... and reviews health claims. The Director, Physician Leadership requires an in-depth ... function or segment. Responsibilities The Director, Physician Leadership provides..

... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Charlotte ... North Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... The Associate VP for Healthcare..

... and Risk Adjustment National Medical Director in Charlotte North Carolina Description ... North Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... and 3) contribute as a..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies ... HPS executive leaders, Trade Relations, Clinical, Analytics, Actuaries, and Operation functions ... the formulary strategies. Responsibilities The Director, Pharmacy..

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... resources, which may include national clinical guidelines, CMS..

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..

Job Information Centerwell Director Clinical Ops & Services Home Health ... Charlotte North Carolina As a Clinical Operations and Services Director, Home Health ; you will: ... on sales calls..

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... Charlotte North Carolina Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

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..

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..

Job Information Humana Director, Informatics in Charlotte North Carolina ... Charlotte North Carolina Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

Description The Clinical Education National Director will directly lead a team ... Conviva serve patients Responsibilities The Clinical Education National Director role will lead, collaborate, and ... will lead, collaborate,..

... Information Kindred at Home RN Clinical Manager in Gastonia North Carolina ... in Gastonia North Carolina The Clinical Manager coordinates and oversees all ... care patient services provided by..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... variable factors that rely on clinical experience and..

... Information Kindred at Home RN Clinical Manager - Gastonia, NC in ... in Gastonia North Carolina The Clinical Manager coordinates and oversees all ... care patient services provided by..

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... resources, which may include national clinical guidelines, CMS..

Job Information Humana Medical Director of Long Term Care, Florida ... The Long Term Care Medical Director supports the Long Term Care ... contractual requirement. Responsibilities The Medical Director provides..

Job Information Humana VP, Clinical Operations in Charlotte North Carolina ... Charlotte North Carolina Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, ... vision of the..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... patient care while maintaining cost-effective..

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