Government Compliance Manager Jobs in Ridgeland

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..

Description The Manager, Compliance - Medicaid State Reporting ensures ... - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works ... perks for..

Job Information Humana Senior Compliance Professional - Medicaid State Reporting ... Ridgeland Mississippi Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..

Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Ridgeland ... Ridgeland Mississippi Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Job Information Humana Senior Cloud Security Engineer (virtual remote) in Ridgeland Mississippi Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... auditing for quality and clinical compliance, and case management. Serve as ... ABA treatment plans for policy compliance. Assist..

... Information Humana Corporate Real Estate Manager (Remote US) in Ridgeland Mississippi ... seeking a Corporate Real Estate Manager to join working remote anywhere ... and owned property to ensure..

Description The Director, IT Compliance audits the most complex new ... information systems procedures are in compliance with corporate standards. The Director, ... corporate standards. The Director, IT Compliance requires..

Job Information Humana Manager, Compliance - Agent Investigation Unit in ... in Ridgeland Mississippi Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

... seeking an Interoperability Industry & Government partnerships Product Management Lead, where ... will: Act as a product manager for Interoperability Integration projects, providing ... support of Healthcare Interoperability and..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Ridgeland ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... auditing for quality and clinical compliance,..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Description The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are ... courses of action. Responsibilities The Compliance Professional 2 develops and implements .....

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..