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Description The Senior Market Development Professional provides support to assigned health ... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. ... submissions. The Senior Market Development Professional..
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... Member Plan (EFMP). Auditing for quality and clinical compliance, and case management. Serve as ... Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Psychologist (PhD), Registered ... Counselor (LPC),..
... and processes necessary to maintain compliance with NCQA and MMOC standards ... leadership to achieve and maintain compliance. Collect and analyze data daily, ... of SCM nurses queues for..
... they are receiving the best quality of care possible. You will ... communication with members Adhere to compliance standards, state and federal regulations ... individual licensing boards Participate in..
... is committed to providing personalized, high-quality primary care combined with an ... and more productive in their professional and personal lives. We promote ... based care provider focused on..
Description The Senior Clinical Business Professional is a clinical partner to ... team. The Senior Clinical Business Professional work assignments involve moderately complex ... business reviews in accordance with compliance..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with ... to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied..
... is committed to providing personalized, high-quality primary care combined with an ... and more productive in their professional and personal lives. We promote ... environment for all. Responsibilities The..
... Information Humana Medicaid Associate Director, Compliance Nursing in Rogers Arkansas Description ... Arkansas Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates with clinicians/nurses ... to ensure high accountability of compliance and quality and claims are being reviewed .....
... evaluations and will drive high quality in clinical care and documentation ... and goals in delivering clinical quality results in the member's End-to-End ... YHA/YHA Physician leadership to ensure..
... and more productive in their professional and personal lives. We encourage ... is committed to providing personalized, high-quality primary care combined with an ... and more productive in their..
Job Information Humana Senior Accreditation Professional in Rogers Arkansas Description The ... Arkansas Description The Senior Accreditation Professional works in a team environment ... performing complex tasks related to compliance..
Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be ... to ensure high accountability of compliance and..
