Medical Compliance Jobs in Hawaii

Description Responsibilities The Compliance Professional 2 has responsibilities for ... for performing clinical audits on medical record documentation for quality and ... documentation for quality and clinical compliance with contract..

Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Honolulu ... Honolulu Hawaii Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

Job Information Humana Compliance (UM) Coordinator 2 in Honolulu ... in Honolulu Hawaii Description The Compliance (UM) Coordinator 2 conducts and ... Coordinator 2 conducts and summarizes compliance audits. The..

Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / ... for a talented risk and compliance expert to help build a ... IT leaders to ensure Humana's compliance..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..

Description The Behavioral Health Medical Director responsible for behavioral health ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health Medical Director..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..

Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the ... Honolulu Hawaii Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental ... and governmental requirements. The..

Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..

Description The Medical Director actively uses their medical background, experience, and judgement to ... within a context of regulatory compliance, and work is assisted by ... conferences, and other reference..

Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..

Description The Behavioral Health Medical Director makes determinations regarding prior ... within a context of regulatory compliance, and work is assisted by ... Humana coverage policies and determinations, medical necessity..

Description The Medical Director actively uses their medical background, experience, and judgement to ... within a context of regulatory compliance, and work is assisted by ... conferences, and other reference..

Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..

Description The Medical Director relies on fundamentals of ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The Medical..

Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Honolulu Hawaii Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..

... growth pathPURPOSE AND SCOPE: The Medical Assistant has duties and responsibilities ... of the healthcare team. The Medical Assistant functions under the direct ... to assure patient safety. The..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..

... is seeking a Training and Compliance Instructor - First Aid and ... ensure customer satisfaction and OSHA compliance. SKILLS/QUALIFICATIONS Required *Have an active ... Cintas offers comprehensive and competitive..

Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Honolulu Hawaii Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..

Description The Medical Director actively uses their medical background, experience, and judgement to ... within a context of regulatory compliance, and work is assisted by ... conferences, and other reference..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health..