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167

Managed Care Compliance Jobs





Job info
 
Company
**********
Location
Colorado Springs, CO
Posted Date
Apr 28, 2021
Info Source
Employer  - Full-Time  90 

Description The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Dec 09, 2020
Info Source
Employer  - Full-Time  90  

Description The Manager, Care Management leads teams of nurses ... behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines ... succeed, we succeed! The..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Feb 14, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Behavioral Health 2 ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic Behavioral..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Director, Care Delivery and EMR/EHR Technology in ... IT business initiatives specific to care delivery technology and the core ... capabilities interrelate across Humana's Primary Care segment,..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Apr 04, 2021
Info Source
Employer  - Full-Time  90  

... Humana Senior Cybersecurity Risk & Compliance Professional in Colorado Springs Colorado ... the Senior Cybersecurity Risk & Compliance Professional at Author by Humana ... managing cross-functional Governance, Risk and..

 
Company
Location
Colorado Springs, CO
Posted Date
May 12, 2021
Info Source
Employer  - Full-Time  90  

... whose purpose is to provide care management program support resources to ... careers. At Partners in Primary Care, we're seeking innovative people who ... whole. Responsibilities CenterWell Senior Primary..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Apr 29, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Records Retrieval Representative conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Feb 23, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) ... Colorado Springs Colorado Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing..

 
Company
Location
Colorado Springs, CO
Posted Date
Mar 15, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Compliance Professional will provide guidance for ... implementation of Humana's Oklahoma Medicaid Compliance Program. He/she will serve as ... point of contact for all Managed Care Organization..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Jun 20, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities This position will maintain the Humana Military ACD website Autism Center of Excellence (CoE); ensuring educational information is current and relevant to training needs in addition to analyzing and ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Jun 21, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Autism Care Demonstration (ACD) Senior Learning Design ... opportunity for performance excellence and compliance with TOM Chapter 18, section ... Bachelor's degree 1 year of managed care..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

... Information Humana Medicaid Associate Director, Compliance Nursing in Colorado Springs Colorado ... Colorado Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

 
Company
Location
Colorado Springs, CO
Posted Date
Mar 17, 2021
Info Source
Employer  - Full-Time  90  

... At Home Special Needs Plan Compliance Review team within Home Solutions ... Review team within Home Solutions Compliance and Risk Management. The Quality ... programs to focus employees on..

 
Company
Location
Colorado Springs, CO
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Nurse 2 employs ... resolves barriers that hinder effective care. Ensures patient is progressing towards ... outcomes by continuously monitoring patient care through assessments and/or..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Feb 26, 2022
Info Source
Employer  - Full-Time  90  

Company Overview: Job Description: Are you passionate about supporting a team dedicated to providing top notch dental care, and helping patients understand their treatments? Are you ready to be a big ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Dec 02, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk ... and monitoring of CenterWell Primary Care Organization provider clinics including serving ... clinics including serving as a..

 
Company
Location
Colorado Springs, CO
Posted Date
Mar 15, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Behavioral Health 2, ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic Behavioral..

 
Company
Location
Colorado Springs, CO
Posted Date
May 16, 2021
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..

 
Company
Location
Colorado Springs, CO
Posted Date
Nov 27, 2022
Info Source
Employer  - Full-Time  90  

NABA Senior Compliance Professional The candidate will provide ... and implementation of the Medicaid Compliance Program. Will serve as the ... point of contact for all Managed Care Organization (MCO)..

 
Company
Location
Colorado Springs, CO
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior..

 
Company
Location
Colorado Springs, CO
Posted Date
May 01, 2023
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Jun 01, 2023
Info Source
Employer  - Full-Time  90  

... the same high standard of care to our employees as we ... patients. With 25 hospitals, home care and hospice care, medical clinics, flight care, telehealth and over 100..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Feb 07, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana RN-Care Manager, Behavioral Health-RN in an ... Colorado Springs Colorado Description The Care Manager, Telephonic Behavioral Health 2, ... with resources appropriate for the care and wellbeing..

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