Home Compliance And Risk Management Lead Jobs in Pennsylvania

... 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,..

... a constellation of design-driven brands and people, working together with our ... with our clients in person and digitally to create inspired modern ... furniture, textiles, leathers, lighting, accessories,..

Job ID 21000JP6Available 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..

... $10K Sign on Bonus 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..

... 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..

... Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Pittsburgh Pennsylvania Description ... is seeking an AVP to lead its Provider Support team and associate's..

... 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..

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..

Job Information Humana Compliance Lead - Illinois Medicaid in Pittsburgh ... in Pittsburgh Pennsylvania Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of..

Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Pittsburgh Pennsylvania Description ... Pittsburgh Pennsylvania Description The Senior Risk Management Professional a critical member within..

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..

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..

... 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 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..

... community. Our medical group provides home-based medical care to chronically ill ... of our patients are frail and elderly, we deliver care primarily ... in the comfort of their..

... 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..

... $10K Sign on Bonus 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..

... 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..