Quality Assurance Compliance Jobs in Naples

Description The RN, Compliance Nurse 2 reviews utilization management ... waste, and abuse. The RN Compliance Nurse 2 work assignments are ... of action. Responsibilities The RN Compliance Nurse 2..

Description The Compliance (UM) Professional 2 conducts and ... Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments ... courses of action. Responsibilities The Compliance..

Job Information Humana Call Quality Coach in Naples Florida Description ... Naples Florida Description The Call Quality Coach (Call Quality Professional 2) monitors and evaluates ... 2) monitors and evaluates..

Job Information Humana Senior Cloud Security Engineer in Naples Florida Description The Senior Cloud Security Engineer-AWS Responsible for build, deployment and maintenance of the multi-cloud security controls; engineering the security posture ..

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

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). ..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Job Information Humana Call Quality Coach (Call Quality Professional 2) REMOTE in Naples ... Naples Florida Description The Call Quality Coach (Call Quality Professional 2) provides information to ... individuals..

... effective performance and delivery of quality home care services, and is ... to ensure documentation is in compliance with regulatory agencies and requirements ... are completed timely and in..

Job Information Humana Quality Improvement Coordinator in Naples Florida ... in Naples Florida Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..

Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..

Job Information Humana Call Quality Coach (Call Quality Professional 2) in Naples Florida ... Naples Florida Description The Call Quality Coach (Call Quality Professional 2) provides information to ... individuals..

Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..

... and efficient business solutions for quality assurance and risk mitigation in implementing ... data retention to assure data quality standards. This position collaborates with ... to ensure data consistency..