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Description The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... for well-being Responsibilities The Senior..
Description Responsibilities The Your Home Advantage (YHA) Market Clinical Manager (MCM) will lead a team of Advanced Practice Provider (APP) Clinicians (ARNP and PA) responsible for member outreach with In-Home Wellness ..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of ... moderate to substantial. Responsibilities The Compliance Lead (SNP) develops and implements .....
... Enterprise Risk Management, business units, regulatory agencies, and industry groups to ... risks are effectively managed and compliance objectives are achieved. In addition, ... in ensuring Humana's risk and..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Davenport Iowa Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
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 Details: SUMMARY: This position may be required to perform a variety of duties including, but not limited to, operation of wastewater analysis laboratory, operation and maintenance of wastewater collection system, ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Davenport Iowa Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..
Job Information Humana Assistant General Counsel, Home Solutions in ... in Davenport Iowa Description The Assistant General Counsel provides a full ... legal advice and services. The Assistant General Counsel..
... Information Humana Medicaid Associate Director, Compliance Nursing in Davenport Iowa Description ... Iowa Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Davenport Iowa Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Job ID 21000N4YAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
... of EMR systems to ensure compliance with industry standards and regulatory requirements Identify and address technical ... software to ensure security and compliance with HIPAA regulations Oversee the .....
Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..
SUMMARY: The primary function of the Quality Assurance HACCP Supervisor is to monitor and manage the plant s HACCP SSOP and food safety programs to assure regulatory compliance. Oversee the HACCP ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Davenport Iowa Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... fraud, waste, and abuse. The Compliance Nurse work assignments are varied ... schedule and overtime. Responsibilities The..
