Managed Care Compliance Jobs in Greensboro

ALL ABOUT TARGET  As part of our collaborative and guest-obsessed team, you help us create an experience that makes guests say “I love Target!” When you work at Target, you’re helping ..

Senior Employee Benefits Compliance Officer Duties: Provide oversight and ... for the delivery of ERISA Compliance Services as part of a ... their external Clients. Provide specialized compliance analysis, advice..

... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Decisions are typically ... and processes necessary to maintain..

... and value, while also managing compliance with network requirements, including network ... Department of Health of Medicaid Managed Care Contract. The Lead will support ... proactively identify network issues,..

... coordinates and oversees all direct care patient services provided by clinical ... operations for a specific location managed. Conducts/delegates the assessment and reassessment ... of patients, including updating of..

Job Information Humana Storage Administrator- Storage and Backup in Greensboro North Carolina Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

About Syngenta \r\n  \r\nSyngenta is a global leader in agriculture; rooted in science and dedicated to bringing plant potential to life. Each of our 28,000 employees in more than 90 countries ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Job Information Humana Quality Improvement Coordinator in Greensboro North Carolina Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. ..

... serving non-profit clients including health care providers, higher education institutions, private ... other tax-exempt organizations. Providing tax compliance and consulting services including restructuring, ... relationships on various federal tax..

Health Care Attorney The candidate must have a J.D. degree from an ABA-accredited law school. Excellent academic credentials and 7 years of transactional and regulatory healthcare experience. Should have experience working ..

Job Information Humana Sr. DevOps Cloud Engineer in Greensboro North Carolina Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps ..

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,..

... The business is seeking a...... Compliance Program Manager Compliance Program Manager Greensboro, NC Cone ... Reporting to the Director of Compliance Services, the Compliance and Integrity Program Manager provides..

Job Information Humana Associate Director, Provider Data Interoperability in Greensboro North Carolina Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..

... plan related to claims Ensure compliance with South Carolina's Managed Care Contractual requirements for provider relations, ... working with or in health care administration setting Exceptional relationship management .....

... across members, providers, agents, clinical, care management, pharmacy, and other units. ... new benefits launch, provider find care, provider management self-service, and provider ... management. Innovate on clinical and..

Description The Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager work assignments are varied ..

... incumbent ensures proper use and care of physical assets, helps to ... supports automotive safety and regulatory compliance by conducting facility audits, following ... Applies legal, regulatory and safety..

Admin / Clerical (13) Advanced Practice Registered Nurses / Physician Assistants (4) Allied Health (31) Clinical Research (1) Dentistry (2) Executive (56) General Nursing (65) Hospitality, Facility, Environmental Support (5) Mental ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... Ensure provision of quality patient care while maintaining cost-effective clinical operations ... in accordance with all legal,..