Director Clinical Quality Compliance Jobs in Mississippi

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

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..

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 Centerwell RN Clinical Manager in Carthage Mississippi The ... Manager in Carthage Mississippi The Clinical Manager coordinates and oversees all ... care patient services provided by clinical personnel...

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..

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 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 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 RN Branch Director Home Health FT in Starkville ... in Starkville Mississippi The Branch Director is accountable for managing the ... ensure the following: operational efficiencies, quality..

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 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 Information Humana Director, Informatics in Ridgeland Mississippi Description ... in Ridgeland Mississippi Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

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

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 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..

Job Information Centerwell RN Clinical Manager in Meridian Mississippi The ... Manager in Meridian Mississippi The Clinical Manager coordinates and oversees all ... care patient services provided by clinical personnel...

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 VP, Clinical Operations in Ridgeland Mississippi Description ... in Ridgeland Mississippi 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 Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..

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

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 Director, Care Delivery and EMR/EHR Technology ... in Ridgeland Mississippi Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..