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... works within a framework of compliance expectations leading to significant variabilities ... responsible for the member's safety and advocacy outcome as part of ... facilitate access to the member..
... purpose is to provide care management program support resources to physicians, ... resources to physicians, physician groups, and integrated healthcare delivery systems throughout ... caring for family, friends, finances,..
Description The Behavioral Health Parity Compliance Lead will play an integral role ... integral role in the oversight and management of our Mental Health Parity ... of our Mental Health..
Job Information Humana Compliance Lead - Illinois Medicaid in Indianapolis ... in Indianapolis Indiana Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... philosophy. Adheres to the FMCNA Compliance Program, including following all..
Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Indianapolis Indiana Description ... Indianapolis Indiana Description The Senior Risk Management Professional a critical member within..
PURPOSE AND SCOPE: Manages the provision of ... patient care in an independent home therapy program while maintaining cost-effective ... in accordance with all legal, compliance, and regulatory requirements and..
... FEATURES:Sign On Bonus: $10,000 PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... philosophy. Adheres to the FMCNA..
PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... philosophy. Adheres to the FMCNA Compliance Program, including following all..
... authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests ... technical approach for project components, and work is performed without direction...
... Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... on problems of diverse scope and complexity ranging from..
Job ID 21000MCCAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... philosophy. Adheres to the FMCNA Compliance..
... Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Indianapolis Indiana Description ... is seeking an AVP to lead its Provider Support team and associate's..
... Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... communicates contract terms, payment structures, and reimbursement rates to..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... contribute to Humana's national planning and operations for Risk Adjustment, Stars, and Interoperability. Specifically, this role will..
Job ID 21000M1FAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... philosophy. Adheres to the FMCNA Compliance..
... factors. Responsibilities Location: work at home anywhere The Senior Clinical Delegation ... Vendor Oversight builds relationships with and provides clinical and operational oversight for third party ... technical approach..
... Two Meridian Carmel, IN 46032PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... philosophy. Adheres to the FMCNA..