Manager Quality Risk Compliance Jobs in Brentwood

... candidate must be an insightful risk-taker willing to thoughtfully disrupt the ... team as necessary to ensure compliance with all local policies and ... and clinical claims reviews Assure..

Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..

... our clinical teams can spend quality time caring for a smaller ... is now the nationu2019s largest risk-based, in-home medical group, with operations ... partnership with a nurse care..

Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... in Brentwood Tennessee Description The Risk Management Professional 2 identifies and .....

... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Brentwood Tennessee Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... national planning and operations for..

... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Brentwood Tennessee Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars and..

Job Information Humana Bilingual Quality Auditor in Brentwood Tennessee Description ... Brentwood Tennessee Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

Description The Manager, Risk Adjustment oversees coding educators and ... Adjustment oversees coding educators and quality assurance audits of medical records ... and Medicaid Services (CMS). The Manager, Risk Adjustment..