Healthcare Improvement Specialist Jobs in Newport

Health System Specialist, GS 07-15 Duties: The candidate will administer the internal review, quality and productivity initiatives for the organization. Will advise senior leaders and Medical Treatment Facilities (MTF) Commanders on ..

Regulatory Compliance Specialist IV The candidate manages an audit program portfolio for SOC, Healthcare (HIPAA, HITRUST), Finance (PCI), or SaaS@Customer to support and maintain existing audit compliance efforts and regulatory compliance ..

Veterinarian Hospital Medical Leader','United States-Rhode Island-PROVIDENCE-585 N Main Street (1825)','585 N Main Street','','PROVIDENCE','02904','Full-time','Pet Services','!*! Our Mission: Mission: with more than 50 years of service to pet parents, Petco is a leading ..

Job Information Humana Actuary, Risk and Compliance in Newport Rhode Island Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..

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 ..

Job Information Humana FP&A Lead, Medicaid Market in Newport Rhode Island Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

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 ..

Job Information Humana Vendor Management Specialist 3 in Newport Rhode Island ... Island Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..

Job Information Humana Medicare Appeals and Grievance Medical Director in Newport Rhode Island Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

... internal stakeholders in support of Healthcare Interoperability and compliance to CMS ... criteria for the measurement of Healthcare Interoperability and compliance to CMS ... areas with issue resolution and..

WalgreensnJob DescriptionIn accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy Department duties in ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

HOW MIGHT YOU DEFY IMAGINATION?rnrn rnrnYouve earned your degree. How will you use that achievement to reach your goals? Do more with the knowledge youve worked hard to acquire and the ..

Description The Staff Clinical Pharmacist is an integral part of the Clinical Drug Policy Management team which ensures synchronization of formulary utilization management policies across multiple systems. Humana is seeking a ..

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 ..

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 ..

... We are the future of healthcare and our mission is to ... will help members through their healthcare journey, ensuring they get the ... are: Passionate about transforming our..

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 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 RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..

Description The Site Reliability Engineering (SRE) Lead Technology Leadership Professional - Pharmacy Dispensing Solutions is responsible for all aspects of the production environment support strategy, Operational Excellence strategy and execution, and ..

... internal stakeholders in support of Healthcare Interoperability and compliance to CMS ... criteria for the measurement of Healthcare Interoperability and compliance to CMS ... areas with issue resolution and..