Healthcare Quality Compliance Jobs in Troy

WHS Governance and Compliance Manager The candidate will be responsible for leading a team that interacts with safety and health regulatory agencies. Subject matter expertise in all aspects of regulatory interactions ..

... Information Humana Medicaid Associate Director, Compliance Nursing in Troy Michigan Description ... Michigan 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..

Director of Compliance/HIPAA Privacy OfficernU.S. Medical Management (USMM) ... continuum of care with premier healthcare providers, clinicians and patient focused ... desire the experience of delivering quality & compassionate healthcare..

Description The Compliance Lead ensures compliance with governmental requirements and works ... include: Responsible for effectiveness of compliance program which includes metrics, reporting, ... issue tracking and resolution, and quality..

Job Information Humana Quality Audit Professional 2 (Grievance & ... in Troy Michigan Description The Quality (Non-Calls) Professional 2 ensures that ... and Medicare Services standards of quality. The Quality..

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..

... field as an attorney representing healthcare industry clients. The candidate will ... Case Managers that help leading healthcare organizations across the US manage ... international talent working in varied..

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

Job Information Humana Call Quality Coach in Troy Michigan Description ... Troy Michigan Description The Call Quality Coach (Call Quality Professional 2) monitors and evaluates ... 2) monitors and evaluates..

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%..

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

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..

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..

Job Information Humana Quality Assurance Audit Professional 2 in ... Michigan Description Humana's Marketing Operations Quality Audit team is looking for ... team is looking for a Quality Assurance Audit..

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

Job Information Humana Quality Audit Professional 2 (Grievance & ... in Troy Michigan Description The Quality (Non-Calls) Professional 2 ensures that ... and Medicare Services standards of quality. The Quality..

Job Information Humana Call Quality Coach (Call Quality Professional 2) in Troy Michigan ... Troy Michigan Description The Call Quality Coach (Call Quality Professional 2) provides information to ... individuals..

Job Information Humana Call Quality Coach (Call Quality Professional 2) REMOTE in Troy ... Troy Michigan Description The Call Quality Coach (Call Quality Professional 2) provides information to ... individuals..

Description The Quality (Non-Calls) Professional 2 ensures that ... products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments ... courses of action. Responsibilities The Quality (Non-Calls)..

Job Information Humana Compliance (UM) Coordinator 2 in Troy ... in Troy Michigan Description The Compliance (UM) Coordinator 2 conducts and ... Coordinator 2 conducts and summarizes compliance audits. The..

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

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..