Managed Care Compliance Jobs in Troy, Michigan | EmploymentCrossing.com


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151

Managed Care Compliance Jobs in Troy





Job info
 
Company
**********
Location
Troy, MI
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
Troy, MI
Posted Date
Mar 21, 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
Troy, MI
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Troy, MI
Posted Date
Feb 05, 2022
Info Source
Employer  - Full-Time  90  

... of variable factors. Responsibilities Humana's Care Delivery Organization is seeking a ... in developing a robust integrated care delivery model that integrates insurance ... insurance with high value health..

 
Company
Location
Troy, MI
Posted Date
Mar 02, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Troy, MI
Posted Date
Mar 31, 2021
Info Source
Employer  - Full-Time  90  

... experience for the ACD (Autism Care Demonstration) policy changes. Develop and ... needs, data needs, provider audit compliance etc. 20 % Develop deep ... measurements. 10% Working with ACD..

 
Company
**********
Location
Troy, MI
Posted Date
Aug 24, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Workforce Management Professional 2 - Case/Care Management in Troy Michigan Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to ..

 
Company
**********
Location
Troy, MI
Posted Date
Apr 08, 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
Troy, MI
Posted Date
Jun 20, 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
Troy, MI
Posted Date
Dec 19, 2022
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing of members. Responsibilities ... Eastern Time Zone The Transplant Care Manager, Telephonic Nurse..

 
Company
**********
Location
Troy, MI
Posted Date
May 15, 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
Troy, MI
Posted Date
Feb 21, 2022
Info Source
Employer  - Full-Time  90  

Director of Compliance/HIPAA Privacy OfficernU.S. Medical Management (USMM) ... built on a continuum of care with premier healthcare providers, clinicians ... Mission u2013 u201cThrough Compassionate Patient-Centered Care in the Home;..

 
Company
**********
Location
Troy, MI
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
Troy, MI
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
Troy, MI
Posted Date
Sep 06, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Management Support Assistant 2 (CMSA2) ... (CMSA2) contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care and wellbeing of..

 
Company
**********
Location
Troy, MI
Posted Date
Apr 04, 2021
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Troy, MI
Posted Date
Apr 11, 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
Troy, MI
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
Troy, MI
Posted Date
Jun 11, 2021
Info Source
Employer  - Full-Time  90  

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)..

 
Company
**********
Location
Troy, MI
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
Troy, MI
Posted Date
Sep 15, 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
Troy, MI
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
Troy, MI
Posted Date
Oct 10, 2021
Info Source
Employer  - Full-Time  90  

... Information Humana RN Telephonic Transplant Care Manager-WAH in Troy Michigan Description ... in Troy Michigan Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the..

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