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Coordinator Infection Control Sepsis (RN) / ... Department Infection Preventionist / Sepsis Coordinator Infection Prevention 941 and 917 ... in accordance with statutory and regulatory requirements (e.g. new employee orientation,)..
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 ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Portsmouth New Hampshire Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Pharmacy Benefits and ... issues, conduct research, and provide..
Job Information Humana Telephonic Care Manager in Portsmouth New Hampshire Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for ..
Stewardship Coordinator (Finance) Durham University - Administrative Location: Durham Salary: £22,847 to £26,341 Hours: Full Time Contract Type: Permanent Placed On: 7th March 2022 Closes: 27th March 2022 Job Ref: 22000310 ..
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 ..
Stewardship Coordinator Durham University - Administrative Location: Durham Salary: £22,847 to £26,341 Hours: Full Time Contract Type: Permanent Placed On: 7th March 2022 Closes: 27th March 2022 Job Ref: 22000309 The ..
Description The Compliance (UM) Coordinator 3 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical ..
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 ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Portsmouth New Hampshire Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
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 ..
Description The IT Compliance Professional 2 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 ..
Job Description Health is everything. At CVS Health we are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we're helping people on their ..
... 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 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 Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Portsmouth New Hampshire Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
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 ..
Job Information Humana UM Medical Director - Conviva in Portsmouth New Hampshire Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Portsmouth New Hampshire Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
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 ..
Job ID 21000GDAAvailable Openings 1 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 ..
Description Humana's technology environment has pivoted from a centralized model over the last several years to a more federated model. This trend will continue and accelerate to the point where Humana's ..