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:,ActualValueFromSolar:null},{QuestionName:Job Summary,AnswerValue:JOB OVERVIEWu003cbr/u003eReporting to the Director of Revenue Cycle Compliance, the Associate Director of Revenue Cycle Compliance u0026 Audit is responsible for ... developing, implementing and leading the compliance initiatives..
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Description The Director, Actuarial Pricing is responsible for ... standard and custom benefits. The Director, Actuarial Pricing requires an in-depth ... help shape Humana Strategy. This Director will lead a..
Description The Director, Strategy Advancement provides data-based strategic ... along the way. Responsibilities The Director, Retail Strategy & Product Advancement ... (consumers who qualify for both Medicare and Medicaid), by..
... A Difference every day.Position: Executive Director Branch ManagerReports to: Regional Vice ... in our care.As an Executive Director, you will:Be responsible for the ... operation and ensuring that the..
... Health (the Alliance) as the Compliance Director , leading our Compliance department. This position is available ... FOR Reporting to the Chief Compliance Officer, you will: Provide strategic .....
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... sources. Medical Directors will learn Medicare and Medicare..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Torrance California Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Compliance Director-MRA Coding/Clinical The candidate will direct ... assessing audit preparedness. Will lead compliance monitoring to identify process gaps, ... to identify process gaps, validate compliance levels, map processes, draft..
Description The Medical Director relies on fundamentals of CMS ... relies on fundamentals of CMS Medicare Guidance on following and reviewing ... following and reviewing appeals for Medicare Part C..
Description The Director, Market Development provides support to ... and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. ... federal contract application submissions...
Manager, Healthcare Compliance The candidate will manage the ... and management of the annual compliance training, track the effectiveness of ... training, track the effectiveness of compliance training, and provide..
Description The Compliance Lead ensures compliance with governmental requirements and works ... include: Responsible for effectiveness of compliance program which includes metrics, reporting, ... process improvements and automation to compliance..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... sources. Medical Directors will learn Medicare,..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Torrance California ... Torrance California Description The Medical Director relies on clinical background and ... on clinical background and reviews..
Description The Director, Health Services Nursing serves as ... building out clinical capabilities. The Director will be responsible for driving ... and financial stewardship Responsibilities The Director, Utilization Management Behavioral..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..
Description Humana is an $80 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
