Quality Compliance Manager Jobs in Troy

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 Troy Michigan Description ... Michigan 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..

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 ... Troy Michigan Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

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..

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

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 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 Account Manager is responsible for managing and ... with hospice clients. The Account Manager works to ensure that Enclara ... Pharmacia's clients continue to receive quality and value..

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

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

... (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..

... 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..

Director of Compliance/HIPAA Privacy OfficernU.S. Medical Management (USMM) ... desire the experience of delivering quality & compassionate healthcare within proven ... ReimbursementnnPOSITION DESCRIPTIONnPOSITION DESCRIPTIONnThe Director u2013 Compliance/HIPAA Privacy Officer is..

... seeking a Corporate Real Estate Manager to join working remote anywhere ... and owned property to ensure compliance with Humana standards and supporting ... As the Corporate Real Estate..

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

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..

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 ..

... Information Humana Corporate Real Estate Manager (Remote US) in Troy Michigan ... seeking a Corporate Real Estate Manager to join working remote anywhere ... and owned property to ensure..

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

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