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Job Information Humana Senior Project Manager -- Remote in Torrance California ... California Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
AccentCare is looking for passionate clinicians committed to delivering exceptional care in the home.We are committed to quality patient outcomes—delivering evidence-based care in the home—and providing comprehensive training to further develop ..
Job Information Humana UM Medical Director - Conviva in Torrance California Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Essential Functions: Conducts internal audits of departments to ensure compliance with FDA and International Organization for Standardization (ISO) regulations and Company quality standards. Ensures all direct reports understand the performance standards ..
... relationships, mergers and acquisitions, physician relations, and governance. In addition, they ... operations, medical staff, risk management, regulatory requirements, policy, advocacy, partnership syndication, ... and acquisitions, governance, joint ventures,..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
nnnImproving quality-of-life through innovations in urology. Urovant Sciences is a biopharmaceutical company focused on developing and commercializing innovative therapies for urological conditions. Every employee at Urovant plays an integral role to ..
Description The Provider Services Market Rollout Senior Professional provides support to the implementation of Humana's provider support model in new and existing Medicaid markets. This position partners cross-functionally on matters of ..
Essential Functions: Supervises buyers and purchasing staff in the purchasing, handling, and distribution of materials, raw materials, supplies, equipment, services, etc. to support the business workflow. Oversees the material and supply ..
... select positions. Position Summary The manager has a 24-hour, 7 day ... quality fiscal and information management, regulatory compliance, daily operations, building and ... and enhancing relationships through customer..
u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..
The Program Manager HR Compliance works in conjunction ... each HR functional area: (Employee Relations, HRIS, Solution Bar, Payroll, Talent ... procedures with new and changed regulatory requirements *Develop and..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
The Revenue Integrity Manager is responsible for the leadership ... Hoag Clinic. The Revenue Integrity Manager works in partnership with the ... of Hoag clinic providers. The Manager will supervise..
