Home Compliance And Risk Management Lead Jobs in Richmond

... 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..

... to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, ... uses clinical knowledge, communication skills, and independent critical thinking skills towards .....

... 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,..

... 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..

... 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..

... 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...

... Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Glen Allen Virginia ... 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..

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

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 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..

... 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.u00a0 Our medical group provides home-based medical care to chronically ill ... of whom are frail, elderly and ill-equipped to navigate our overwhelming ... of our patients are frail..