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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..
... 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..
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..
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 ..
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..
... 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..
... designed to increase the plan quality. Partners with leaders regarding implementation ... supporting the Stars operational and compliance team with clinical input and ... providers groups results of Humana..
... 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..
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..
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 .....
