Managed Care Compliance Jobs in Spokane

... 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..

... 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..

... quality management, risk management, regulatory compliance, accreditation, resource management, and professional ... per week of direct patient care with ARNP/PA certification and must ... offerings to meet the health..

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). ..

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 ..

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

Manager, HIPAA and Healthcare Duties: The candidate is responsible for managing clients and projects, assisting in compiling and analyzing HIPAA (Health Insurance Portability and Accountability Act) documents and Protected Health Information/electronic ..

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,..

... 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,..

Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..

Area Supervisor Montana Job ID: 7573 Location: Spokane Valley, WA, US, 99216-1812 Date posted: Sep 26, 2022 Employment Type: Salary Schedule: Full Time Job ID: 7573 CHS Inc. is a leading ..

... quality management, risk management, regulatory compliance, accreditation, resource management, and professional ... per week of direct patient care with ARNP/PA certification and must ... offerings to meet the health..

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

... and improve the quality of care; improvement of patient and customer ... staff participation in developing patient care policies/procedures/practices, and support of ongoing ... the clinical operations of inpatient..

Job Description CLASS SUMMARY The City of Spokane invites applications for the position of Solid Waste Collection Manager NATURE OF WORK: Under the direction of the Director of Solid Waste 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..

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

... our Mission to provide compassionate care that is accessible for all ... service area physician/patient population. Assures compliance with regulatory agencies: SOPs. Documentation ... is a group of primary..

Job Information Humana Storage Administrator- Storage and Backup in Spokane Washington Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same mantra, ..

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 ..

ADP is hiring a Sales Representative, Human Resources Outsourcing (HRO). Are you ready for your next best job where you can elevate your financial future? Are you looking to grow your ..

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 ..

... 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 .....