Quality Compliance Manager Jobs in Billings

Description The Manager, Storage Engineering responsible for the ... large-scale production storage systems. The Manager, Storage Engineering works within specific ... and processes to deliver high quality technology projects and..

... Information Humana Medicaid Associate Director, Compliance Nursing in Billings Montana Description ... Montana Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

Description The Program Manager, OTC Formulary will work closely ... programs and verify that product quality does not negatively impact the ... over-the-counter formulary that balances product quality with program..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Billings Montana Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

Description The Project Manager manages all aspects of a ... and within budget. The Project Manager work assignments are varied and ... action. Responsibilities As a Project Manager you will..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... Member Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve as ... ABA treatment plans for..

Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager work assignments involve moderately complex ... variable factors. Responsibilities Humana's Health Quality and..

... Billings Montana Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... Strategy Advancement in the Healthcare Quality Reporting and Improvement organization (HQRI) ... Must be passionate about healthcare..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

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..

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 ..

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

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Billings ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..

Description The Associate Director or Cloud Platforms leads the planning, design, and engineering of Humana's AWS and GCP environments. The ideal candidate will have a strong technical background in cloud architecture ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

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..

... (DM), population health management, contract compliance, quality improvement, and pilot/value-based payment programs. ... and Responsibilities Lead clinical and quality management components of HGB's Integrated ... with effective implementation of..

Job Information Humana Director, Care Delivery and EMR/EHR Technology in Billings Montana Description The Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives specific to ..

Job Information Humana Lead, IT Compliance - Technology Exams, Audits and Inquiries in Billings Montana Description The Lead, Technology Exams, Audits and Inquiries is responsible for management of formal and informal ..

... (DM), population health management, contract compliance, quality improvement, and pilot/value-based payment programs. ... and Responsibilities Lead clinical and quality management components of HGB's Integrated ... with effective implementation of..

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 ..

Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Billings Montana Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..