Director Healthcare Compliance Jobs in Maryland

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

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Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..

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Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... work. Responsibilities Title: Commercial Medical Director Location: Work..

Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates transplant members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..

Description The Director, Provider Reimbursement is responsible for ... team of associates. Responsibilities The Director, Provider Reimbursement develops and executes ... and surveillance techniques to ensure compliance with government regulations...

Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..

If you're reading this job posting, you are ready to make a change. We'd love to have you join our team! We share the same passion of caring for others. With ..

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..

Looking to earn extra money over the holidays? Interested in exploring other options in your career as a CNA/GNA? Tired of the office politics at your current job and ready to ..

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

Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..

If you're reading this job posting, you're ready to make a change. You're ready to join a team of individuals with the same passion of caring for others. With us, you ..

If you're reading this job posting, you're ready to make a change. You're ready to join a team of individuals with the same passion of caring for others. With us, you ..

Description The Lead Product Manager for Specialty products leads all phases of the product life cycle for Dental, Vision and Life products, from inception to introduction into the marketplace. Responsibilities Position ..

Looking for a FRESH START for the New Year? Making a RESOLUTION to work for a great company who values their employees? Tired of office politics and unnecessary stress impacting your ..

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..

Looking for a FRESH START for the New Year? Making a RESOLUTION to work for a great company who values their employees? Tired of office politics and unnecessary stress impacting your ..

If you're reading this job posting, you're ready to make a change. You're ready to join a team of individuals with the same passion of caring for others. With us, you ..

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..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..