Manager Quality Risk Compliance Jobs in Saint Petersburg

Vice President of Quality and Patient Safety','00144-11490','United States-Florida-Largo-Largo Medical ... Centers. The Vice President of Quality and Safety Management provides leadership ... Senior Management to develop strategic quality initiatives. Leads..

Vice President of Quality and Patient Safety','26537-4609','United States-Florida-Tampa-Memorial Hospital ... medicine. The Vice President of Quality and Safety Management provides leadership ... Senior Management to develop strategic quality initiatives. Leads..

Manager of Facilities Management','26537-4643','United States-Florida-Tampa-Memorial Hospital ... wound and hyperbaric medicine. The Manager of Facilities Management is responsible ... expertise in all facets of compliance with AHCA, Joint Commission, CMS,..

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..

Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..

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 Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..

Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..

... stakeholders, focus on clinical excellence, quality improvement, appropriate inpatient and outpatient ... system transformation, including provider network, compliance with regulatory mandates, growth and ... stakeholders, focus on clinical excellence,..

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..

Job Information Humana Bilingual Quality Auditor in Tampa Florida Description ... Tampa Florida 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 ... Tampa Florida Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars and..

Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..

Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..

... 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..

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

Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..

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

... clinical caseload. The Rehabilitation Program Manager will understand and fulfill the ... fiscal integrity. The Rehabilitation Program Manager serves as an advocate, educator, ... Participates in the implementation of..

Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..

Description Humana is a Fortune 40 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..

... Specific Information ***This clinic will manager between 50-125 patients***PURPOSE AND SCOPE: ... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of..

Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..