Managed Care Compliance Jobs

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 ..

Description The Director, Business Intelligence solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Director, Business Intelligence requires an in-depth understanding ..

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..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead will analyze business requirements, ... in a manner that minimizes compliance risk exposure for the Company. ... day-to-day..

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,..

Job Information Humana Compliance Professional 2 - Medicaid in ... Capsule Be a part of Compliance - Use your business knowledge ... procedures, and programs supporting our compliance initiatives. Humana..

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..

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..

Job Information Humana Senior Compliance Professional- Medicare Sales and Marketing ... North Dakota Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

Job Information Humana Senior Compliance Professional - Disability and Life ... North Dakota Description The Senior Compliance Professional will analyze business requirements, ... in a manner that minimizes compliance risk..

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..

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

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

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..

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 ..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... as outlined in the Autism Care Demonstration (ACD)..

... Information Humana Medicaid Associate Director, Compliance Nursing in Fargo North Dakota ... Dakota Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

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..

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..

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..

... 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..

Description The Supervisor, Care Management Support contributes to administration ... Support contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care and wellbeing..

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