Insurance Compliance Jobs in Rosedale

Description Humana Healthy Horizons in Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible for overseeing the development and implementation of Humana Medicaid's Addiction Services in Louisiana, serving ..

Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who will utilize clinical skills to support the coordination, documentation, and communication of behavioral health services and/or ..

Description The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..

Job Information Humana Manager, Quality Compliance in Pierre Part Louisiana Description ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...

Job Information Humana Manager, Quality Compliance in Garyville Louisiana Description Humana ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...

Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..

Job Information Humana Manager, Quality Compliance in Donaldsonville Louisiana Description Humana ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...

... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..

Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..

Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..

Compliance Specialist Duties: Participates in the ... the administration and oversight of compliance programs for all jurisdictions and ... Works with the CCO, VP Compliance, and Compliance Oversight Committee to..

Job Information Humana Manager, Quality Compliance in Paincourtville Louisiana Description Humana ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...

Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Care Management(Behavioral Health) who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..

... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..

Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..

Job Information Humana Manager, Quality Compliance in Labadieville Louisiana Description Humana ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...

Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..

Description The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..

Job Information Humana Manager, Quality Compliance in Gonzales Louisiana Description Humana ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...

... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..

Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..

Job Information Humana Manager, Quality Compliance in Belle Rose Louisiana Description ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...

Description The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..