Healthcare Compliance Specialist Jobs in Michigan

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..

... the global leader in dialysis healthcare, we form bonds that enable ... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... a member of the interdisciplinary..

... Information Humana Actuary, Risk and Compliance in Troy Michigan Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..

... looking for an experienced Senior Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..

... and other members of the healthcare team to interpret, adjust, and ... delivery of patient care in compliance with standards outlined in the ... philosophy. Adheres to the FMCNA..

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 ..

Description Job Description Summary 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 ..

Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Troy Michigan Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..

Job Opportunity Job ID: 31538 Competitive starting rate of pay: $26.64 Description: Positions Location: Lansing, MI Job Description General Purpose of Job Under general supervision, is responsible for assessment of patients, ..

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 ..

... is looking for an experienced Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..

... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..

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 ..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..

Job Opportunity Job ID: 32031 Positions Location: Lansing, MI Job Description General Purpose of Description: Positions Location: Lansing, MI Job Description General Purpose of Job ORGANIZATIONAL RELATIONSHIPS Reports to the Senior ..

Job DescriptionQualifying candidates may be eligible for up to a $5,000 sign on bonus.Help us elevate our patient care to a whole new level! Join our Aetna team as an industry ..

... philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and ... and other members of the healthcare team to interpret, adjust, and ... delivery of patient care in..

Details Department: Orthopedics Schedule: Monday through Friday 8-5pm Hospital: Ascension Borgess Location: Kalamazoo, MI Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & ..

... the global leader in dialysis healthcare, we form bonds that enable ... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... a member of the interdisciplinary..

Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..

Details Sign On Bonus: $2,000 Department: Float R Schedule: Full Time Nights 7PM-7:30AM, Mon - Fri & Every Other Weekend Hospital: Ascension Genesys Hospital Location: Grand Blanc, Mi Benefits Paid time ..

... ambulatory sites. The Clinical Nurse Specialist (CNS) is an advanced practice ... collaborative model. The clinical nurse specialist is directly accountable for making ... decision-making skills. The clinical nurse..