Director Healthcare Compliance Jobs

Hospice Executive Director Location : Las Vegas State ... 9-4-2020 Description : Hospice Executive Director – Las Vegas, NV We ... opportunity for a Hospice Executive Director in Las Vegas,..

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

Job Information Humana Associate Director, Health Information Management in Las ... Vegas Nevada Description The Associate Director, Health Information Management ensures data ... encounter submissions systems. The Associate Director, Health..

... in an assigned area ensuring compliance with established company and regulatory ... growth of area while ensuring compliance with all pertinent company policies ... policies and procedures including ongoing..

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..

... Medicare Appeals and Grievance Medical Director in Las Vegas Nevada Description ... Vegas Nevada Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..

Genesis a leading provider of healthcare services from short-term to long-term ... clinical team as an Assistant Director of Nursing. You will support ... Nursing. You will support the Director..

Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Vegas Nevada Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..

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 Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..

Job Information Humana UM Medical Director - Conviva in Las Vegas ... Vegas Nevada Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

Job Information Humana Medical Director - Florida Medicaid in Las ... Vegas Nevada Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

... and Risk Adjustment National Medical Director in Las Vegas Nevada Description ... Las Vegas Nevada Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Las ... Vegas Nevada Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..

Job Information Humana Medical Director - Texas in Las Vegas ... Vegas Nevada Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Internal Medicine Residency Program Director Opening Near El Paso, TX (Las Cruces, NM)!!rnrnLas Cruces is a sunny college town located close to the mountains and a lake for easy access to ..

Job Information Humana Director, Informatics in Las Vegas Nevada ... Las Vegas Nevada Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

Job Information Humana Medical Director - S. Florida in Las ... Vegas Nevada Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

National Medical Director Utilization Management – Quality Management ... care to drive HEDIS metric compliance.rnProvide clinical leadership for medical necessity ... clinical data review of HEDIS compliance and develop strategic..

Job Information Humana Medical Director - National Medicare Team in ... Vegas Nevada Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

MEDICAL DIRECTOR / 100% ADMINISTRATIVErnrnrnDescriptionrnrnrnrnMedical DirectorrnOverall Purpose:rnThe Medical Director is responsible for medical oversight of the Medical Management Program Description of organization regarding medical necessity decisions; utilization review, inclusive of prior ..

... Louisiana is seeking an Associate Director, Care Management(Behavioral Health) who will ... for care management. The Associate Director, Care Management requires a solid ... and treatment. Responsibilities The Associate..