Quality Compliance Manager Jobs in Montpelier

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 Montpelier Vermont Description ... Vermont 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 Lead, IT Compliance - Technology Exams, Audits and Inquiries in Montpelier Vermont Description The Lead, Technology Exams, Audits and Inquiries is responsible for management of formal and informal ..

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..

... 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 Manager of Fraud and Abuse Data ... Montpelier Vermont Description Responsibilities The Manager of Fraud and Abuse Data ... team with responsibility for the quality and content..

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

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 Bilingual Manager, Learning Facilitation , plans, coordinates, ... Grievances and Appeals Learning Facilitation Manager Oversee a team of instructors ... Update as process change for compliance and oversight..

... Montpelier Vermont 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 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..

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..

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

... touch through the delivery of high-quality healthcare and everyday compassion! We ... We focus on improving the quality of care through creativity and ... goals as our Business Office..

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

... (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..

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

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..

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

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..