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... The Associate Director, Patient Assistance Compliance and Quality Assurance will be responsible for ... will be responsible for overseeing Compliance for Patient Services, covering all ... creative solutions to..
... transformative business results. Summary The Manager of Global Risk Management will be responsible for ... related to the reviews of Risk Management Submissions to Health Authorities. ... activities, RM..
... Summary: The Associate Director, Global Risk Management Strategy reports to the ... to the Executive Director, Global Risk Management Strategy and will be ... of, and the assessment of..
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 ..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..
... and make a difference. POSITION Manager, Document Management SUPERVISOR GRM Lead, ... Center of Excellence - Global Risk Management LOCATION Summit, NJ PREREQUISITES ... Regulatory, or Safety/Pharmacovigilance. REMS and..
... delivery of timely and high quality Hematology/Cell Therapy scientific publications and ... the highest degree of integrity, quality and transparency. Collaborates strongly across ... Customer Engagement, Field Medical Excellence,..
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..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... New Jersey Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars and..
Job Information Humana Bilingual Quality Auditor in New York New ... New York Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
Job Information Humana Bilingual Quality Auditor in Jersey City New ... New Jersey Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... New Jersey Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... national planning and operations for..
... the creation and execution of Quality Control (QC) Testing and User ... Acceptance Testing documentation.u00a0 All in compliance with our company's Standard Operating ... .and more complex or higher..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... City New Jersey Description The Risk Management Professional 2 identifies and .....
... YOUR FULL POTENTIAL.** **_We champion quality of life for all seniors ... for all seniors - and quality careers for our team members._** ... and services that promote residents..
New: Medical Director Opportunity near New York City, NY!!Medical Director needed at ACS sites in the Bronx and Brooklyn. Seeking Administrator to run the program. Staff at ACS work in two ..
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..
