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Description Humana's Lead Program Integrity Investigator will oversee ... Investigator will oversee the monitoring and enforcement of the fraud, waste, ... enforcement of the fraud, waste, and abuse (FWA) compliance..
... Information Humana (RN)Associate Director, Care Management - Oklahoma City, OK in ... Description The Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for .....
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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..
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..
... 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,..
Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Tulsa Oklahoma Description ... Tulsa Oklahoma Description The Senior Risk Management Professional a critical member within..
... 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..
Description The Quality Management Director provides strategic leadership for ... in alignment with organizational quality and population health goals and ensuring compliance with all contract, state, and federal requirements. This..
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..
... Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Tulsa Oklahoma Description ... is seeking an AVP to lead its Provider Support team and associate's..
