Qa Compliance Manager Jobs in Montana

Home Health LPN Category Nursing and Nurse Practitioner Job Location Great Falls, MT Position Type Full-Time/Regular The LPN visiting nurse provides nursing services utilizing a comprehensive base of nursing theory and ..

Regulatory Compliance Specialist IV The candidate manages ... support and maintain existing audit compliance efforts and regulatory compliance obligations, and to support program ... are being built to scale compliance..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Billings Montana Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..

Senior Manager Compliance Programs, Corporate Functions Duties: The ... team that maintains and enhances compliance program components, including, but not ... Lead identification and assessment of compliance program risks and..

Description Humana is a $90 billion (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 ..

Description This role will strengthen our Insurance Product Delivery Management Team to drive end-to-end Insurance Product projects cooperating closely with our Product Strategy, Enablement, Finance, IT, Compliance and Sales / Account ..

Job Information Humana HCS Compliance & Risk Management Quality Audit ... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... action. Responsibilities As a HCS Compliance &..

... MAJOR FUNCTIONS: The Assistant General Manager Specialist has operational and limited ... the assignment. The Assistant General Manager Specialist operates any and all ... the directive of the Regional..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Senior Manager, International Compliance and Reporting Services Duties: The candidate will work within an engagement team and draw on experience in accounting and taxation to provide tax compliance and consulting services ..

Job Information Humana UM Medical Director - Conviva in Billings Montana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..

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

Senior Manager Compliance Programs Duties: Manage a team ... team that maintains and enhances compliance program components. Provide support, coaching, ... annual performance evaluations. Research regulatory compliance requirements and develop..

Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..

Manager, International Compliance and Reporting Services Duties: Conduct design sessions with the client to understand and document the requirement definition for the system. Assign activities and tasks to the project team. ..

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

Job Information Humana Associate Director, Provider Data Interoperability in Billings Montana Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..

Description The Manager, Compliance - Medicaid State Reporting ensures ... - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works ... perks for..

... of Institutional Review Board (IRB) Manager . Reporting to the Associate ... Associate Vice President for Research Compliance, the Institutional Review Board (IRB) ... the Institutional Review Board (IRB)..

Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's Provider Medicaid operational business. The Associate ..

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

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Billings Montana Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..