Director Clinical Quality Compliance Jobs in Roseville

Job Information Humana Medicaid Associate Director, Compliance Nursing in Minneapolis Minnesota Description ... Minneapolis Minnesota 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..

... the state to cover as Clinical Manager as needed. PURPOSE AND ... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of..

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..

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

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 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..

... 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..

... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Minneapolis ... Minneapolis Minnesota 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 ... 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 ... resources, which may include national clinical guidelines, CMS..

Job Information Humana VP, Clinical Operations in Minneapolis Minnesota Description ... in Minneapolis Minnesota Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, ... vision of the..

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..

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 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..

... in an assigned area ensuring compliance with established company and regulatory ... in order to provide high quality dialysis services and outstanding patient ... growth of area while ensuring..

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 Humana Director, Care Delivery and EMR/EHR Technology ... Saint Paul Minnesota Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... in Minneapolis Minnesota Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

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

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..