Hospital Compliance Jobs

Job Information Humana Physician - CenterWell - Atlanta, GA in Salem Oregon Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical ..

Job ID 21000G2OAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..

... months must be in a hospital setting. For Outpatient (Chronic), 2,000 ... administering medications and treatments in compliance with the physicians orders and ... the physicians orders and applicable..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Salem Oregon Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..

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The Oregon State Hospitals Standards & Compliance Department, a division of the Oregon Health Authority (OHA) has a fantastic opportunity for an experienced Patient Safety Coordinator/Strategist to join an excellent team ..

Job Information Humana Medical Director - National Medicare Team in Salem Oregon Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..

WalgreensnJob DescriptionWhere state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience. Serves as a full-time certified pharmacy ..

Job Information Humana DRG Validation Auditor: REMOTE/WFH (Anywhere in the US) in Salem Oregon Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Salem Oregon Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..

Job Information Humana Medical Director - S. Florida in Salem Oregon Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Salem Oregon Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..

Job Information Humana Medical Director - Florida Medicaid in Salem Oregon Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Description The Quality Compliance Professional 2 completes annual quality ... reviews and research. The Quality Compliance Professional 2 work assignments are ... of action. Responsibilities The Quality Compliance Professional 2..

Job Information Humana Medical Director - Texas in Salem Oregon Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of ..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Salem Oregon Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..

Job Information Humana DRG Validation Auditor: REMOTE/Work At Home (Anywhere in the US) in Salem Oregon Description The DRG Validation Auditor extracts clinical information from a variety of medical records and ..

Job Information Humana UM Medical Director - Conviva in Salem Oregon Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Salem Oregon Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..

Job Information Kindred at Home Medical Records Specialist Home Health Full Time in Winston Salem North Carolina The primary function of the Medical Records Specialist is to provide clerical support for ..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Salem Oregon Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..

Job Information Centerwell Medical Records Specialist in Winston Salem North Carolina The primary function of the Medical Records Specialist is to provide clerical support for the Medical Records department. Prepare patient ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Salem Oregon Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..