Medical Compliance Jobs in Montana

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 Billings ... Billings Montana Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

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

Quality and Compliance Manager Category Management / Executive ... and ensuring reimbursement, quality, and compliance requirements of the clinical services ... managers to ensure coding and compliance processes and policies..

... Save Agent Loading... Please wait. Medical Staff Specialist (Full Time) Benefis ... Director, Environmental Services Cookeville Regional Medical Center Cookeville, Tennessee Featured! Featured! ... Health Phoenix, Arizona NEW! NEW!..

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

Quality and Compliance Manager Category Management / Executive ... and ensuring reimbursement, quality, and compliance requirements of the clinical services ... managers to ensure coding and compliance processes and policies..

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 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..

Job Information Humana Compliance Lead - Remote in Billings ... in Billings Montana Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....

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

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

... Stars and Risk Adjustment National Medical Director in Billings Montana Description ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment National..

Job Information Humana Senior Compliance Professional (Network & Credentialing) in ... Billings Montana Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. 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..

Job Information Humana Senior Compliance Professional - Disability and Life ... Billings Montana Description The Senior Compliance Professional will analyze business requirements, ... in a manner that minimizes compliance risk..

... business day of receipt Reviews medical record thoroughly to ascertain all ... diagnosis is not available on medical record. Refers medical record to either Manager or ... Must be..

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..

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

Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in ... Billings Montana Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..