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 ..

... 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..

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..

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 ..

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

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 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..

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 ..

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 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..

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

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 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 Humana Senior Compliance Professional - Disability and Life ... Salem Oregon Description The Senior Compliance Professional will analyze business requirements, ... in a manner that minimizes compliance risk..

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..

... 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..

Job Information Humana Senior Compliance Professional - Medicaid in Salem ... Salem Oregon Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

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

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

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)..

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,..

... responsible for providing emergency response care, first aid and episodic treatment ... and non-occupational illnesses or injuries;u003cbru003e• Compliance with federal and state regulatory ... Rehabilitation performed off-site;u003cbru003e • Specialist..

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 ..