Healthcare Quality Compliance Jobs

... Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description ... Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... on medical record documentation for quality and clinical compliance with contract requirements as outlined ... CPT Codes. KEY ACCOUNTABILITIES 95%..

Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky ... line of business. This includes quality compliance and quality improvement activities such as the ... activities such..

Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..

... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... fraud, waste, and abuse. The Compliance Nurse work assignments are varied ... schedule and overtime. Responsibilities The..

... all medication needs and regulatory compliance standards are met for our ... • May have responsibility for compliance functions. • Assist with workflow ... all medication needs and regulatory..

Job Information Humana Bilingual Quality Auditor in Cincinnati Ohio Description ... Cincinnati Ohio Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..

... in Cincinnati Ohio Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) relies ... guidance to ensure..

Description The Senior Quality Compliance Nurse Professional is an integral ... integral part of the Ohio Quality Improvement Department. This role will ... sensitive projects. Responsibilities The Senior Quality Compliance..

... Licensed Behavioral Health Professional - Quality Audit in Cincinnati Ohio Description ... seeking a Licensed Behavioral Health Quality Audit Professional. This position ensures ... is completed. Conducts and summarizes..

... Information Humana Senior Insurance Product Compliance Professional in Cincinnati Ohio Description ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..

Job Information Humana Quality Compliance Nurse Professional 2 - Louisville, ... in Cincinnati Ohio Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to analyze data ... collaboratively..

Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional..

... and developing related activities. Provide quality patient care to patients and ... to enhance clinical research activities, compliance, and efficiency. *Ensure compliance with contract principles, federal regulations, ... with..

Description The Director, Quality Improvement implements quality improvement programs for all lines ... and annual evaluation. The Director, Quality Improvement requires an in-depth understanding ... across departments. Responsibilities The Director,..

Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are ... courses of action. Responsibilities The Quality Compliance Professional 2..

Job Information Humana Quality Improvement Coordinator in Cincinnati Ohio ... in Cincinnati Ohio Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..

CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL   Founded in 1819, the University of Cincinnati puts education into action, ranking among the nation's best urban public research universities. Home ..

Description The Associate Director, Quality Improvement implements quality improvement programs for all lines ... annual evaluation. The Associate Director, Quality Improvement requires a solid understanding ... department(s). Responsibilities The Associate..

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

... Cincinnati Ohio Description The Senior Quality Compliance Professional works with physicians/physician groups ... to ensure highest accountability of compliance and quality. The Senior Quality Compliance Professional work assignments involve..

... in Cincinnati Ohio Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician..