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Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... Codes. KEY ACCOUNTABILITIES 95% Quality Monitoring Audits Review..
... environments to be always in compliance with Humana security and compliance policies. Lead, and collaborate with ... principles with Terraform, Azure Resource Manager, Docker, Kubernetes Monitor system uptime, .....
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... responsible for the administration and monitoring of the Autism Care Demonstration ... Exceptional Family Member Plan (EFMP), auditing for..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Brentwood ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... responsible for the administration and monitoring..
Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..
Description The Compliance (UM) Coordinator 3 conducts and ... Coordinator 3 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 3 performs advanced ... nation's largest full-service pharmacy benefits manager..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... in Brentwood Tennessee Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..
... The Director, Actuarial Risk and Compliance is responsible for the overall ... The Director, Actuarial Risk and Compliance requires an in-depth understanding of ... The Director, Actuarial Risk and..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Brentwood Tennessee Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
Best Buy As an Assistant Store Manager - Operations, you will play a vital role in creating a positive customer service experience throughout the store. In-store pickup, checkout, asset protection, inventory ..
... Group product implementation, operations, contract compliance, and federal contract application submissions. ... and procedure Demonstrate third party monitoring and oversight practices consistent with ... with assigned third parties Support..
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 Manager, Compliance - Medicaid State Reporting ensures ... - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works ... perks for..
