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Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Birmingham Alabama Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Birmingham Alabama Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
!*! To plan and coordinate credentialing and recredentialing activities and procedures to assure compliance of organization with accreditation guidelines and state regulatory requirements. To maintain the credentialing files of the medical ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Birmingham Alabama Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Description The Associate VP, Network Engineering will design, develop, execute and operate Humana's next generation Network infrastructure capability. This position will provide executive leadership to a team of 50 FTEs and ..
Refugee State Coordinator rnrnClassification: ExemptrnrnSalary Grade/Level/Family/Range: $55,000 - ... serve as the State Refugee Coordinator’s office. As such, this office ... the state. The State Refugee Coordinator (SRC) for Alabama..
Job Information Humana UM Medical Director - Conviva in Birmingham Alabama Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... Professional creates awareness of current regulatory issues and ensures compliance of ... as follows: Monitor and analyze regulatory requirements to assess contract language ... initiatives, administrative practices, and applicable..
Description The IT Compliance Professional audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
Position Summary: With oversight and direction from the Program Mgr-SOM Prgrms and fellowship physician Program Directors, the Education Coordinator (EC) is responsible for the day-to-day administration of the accredited/non-accredited fellowship programs ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Birmingham Alabama Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
... transactions, conducting research, and handling regulatory matters.Job Details:Reviewing, drafting, preparing, and ... analysis, and writing.Contributing to various regulatory matters, including securities, tax, aviation, ... required.Exposure to aspects of some..
Description The Provider NetworkSenior Network Operations Professional works with the Network Operations lead to oversee the plan's strategic opportunity for growth, audit/survey analysis, action plan oversight, implementation and coordination, provider services ..
Framing Supervisor / Site Supervisor Turnipseed International • Birmingham AL 35242 Salary: From $65,000.00 per year Job #1844242105 Job description This position requires a dedicated professional with the ability to manage ..
POSITION FEATURES:PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance ..
Job ID 21000MCDAvailable Openings 2 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
Job Information Humana Telephonic Care Manager in Birmingham Alabama Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana Compliance (UM) Coordinator 2 in Birmingham Alabama Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and moderately ..
Description The Associate Director, Cloud Network Architecture will design, provide vision and strategy, develop, and execute Humana's Cloud Network architecture and environments. This is a management and leadership position that will ..
Job Information Centerwell RN Clinical Manager in Hoover Alabama The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..