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... Managers','!*!Memorial has been providing comprehensive healthcare services for residents of south ... core quality measures, COP and regulatory and all other accrediting and ... and all other accrediting and..
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... Managers','!*!Memorial has been providing comprehensive healthcare services for residents of south ... to support the achievement of regulatory agency standards and requirements in ... expertise in all facets of..
... in process consulting to support compliance within the Healthcare Services (HCS) organization. As a ... (HCS) organization. As a HCS Compliance & Risk Management Professional, you ... effectiveness and..
Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... courses of action. Responsibilities The Compliance Nurse 2- Auditor..
Description The Compliance (UM) Lead conducts and summarizes ... (UM) Lead conducts and summarizes compliance audits. The Compliance (UM) Lead works on problems ... moderate to substantial. Responsibilities The Compliance..
Foley & Lardner LLP is seeking an associate to join its preeminent Telemedicine and Digital Health Industry Team. Our firm represents hospitals and health systems, technology-enabled healthcare service companies, venture-backed digital ..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
Description The Senior Compliance Nurse reviews utilization management activities ... waste, and abuse. The Senior Compliance Nurse work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance Nurse ensures..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. The ... industry as a whole. The Compliance Nurse 2 reviews utilization..
Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... monitoring all related behavioral health regulatory..
... with DOI (Department of Insurance) regulatory and compliance requests Bachelor's degree and 5 ... degree and 5 years of healthcare regulatory experience 2 years of project ... creating analytics..
... Information Humana Actuary, Risk and Compliance in Tampa Florida Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..
Description The Compliance Manager ensures compliance with governmental requirements. The Compliance Manager works on problems of ... moderate to substantial. Responsibilities The Compliance Manager develops and implements compliance policies and..
Description The Home Compliance & Risk Management Lead contributes ... strategy by supporting risk and compliance initiatives across Home Solutions teams ... Home Solutions teams within the Healthcare Services organization...
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Senior Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Senior Compliance ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
... Information Humana Medicaid Associate Director, Compliance Nursing in Tampa Florida Description ... Florida Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description The Senior Compliance Nurse reviews utilization management activities ... waste, and abuse. The Senior Compliance Nurse work assignments involve moderately ... Responsibilities Job Description The Senior Compliance Nurse ensures..
Foley & Lardner LLP is seeking a senior associate to join its preeminent Telemedicine and Digital Health Industry Team. Our firm represents hospitals and health systems, technology-enabled healthcare service companies, venture-backed ..
... occurs within a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and..
Description The RN, Compliance Nurse 2 reviews utilization management ... waste, and abuse. The RN Compliance Nurse 2 work assignments are ... of action. Responsibilities The RN Compliance Nurse 2..
Job Information Humana Associate Director Utilization Management in Tampa Florida Description Come join our team. We are looking for an Associate Director, Utilization Management to utilize clinical nursing skills to support ..
