Director Healthcare Compliance Jobs

... in the role of Associate Director, Community Engagement and Operations. If ... the back-up administrator to the Director. In the role of Associate ... In the role of Associate..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description ... Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..

Job Information Humana Director Medicaid Provider Services (State of ... in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the ... relationships with physicians, providers and healthcare systems in..

Job Information Humana Associate Director, Health Information Management in Cincinnati ... Cincinnati Ohio Description The Associate Director, Health Information Management ensures data ... encounter submissions systems. The Associate Director, Health..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Cincinnati ... Cincinnati Ohio Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..

... with the UC Health academic healthcare system and Cincinnati Children's Hospital ... and Oncology is seeking a Director of Adult Blood & Marrow ... clinical programming. The Adult BMT..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Cincinnati Ohio Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..

... Medicine is seeking an Executive Director Business and Administration for the ... all our activities. The Executive Director of Business and Administration will ... other administrative matters. The Executive..

Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..

Job Information Humana UM Medical Director - Conviva in Cincinnati Ohio ... Cincinnati Ohio Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL   Founded in 1819, the University of Cincinnati puts education into action, ranking among the nation's best urban public research universities. Home ..

Job Information Humana Director, Informatics in Cincinnati Ohio Description ... in Cincinnati Ohio Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

Job Information Humana Medical Director - National Medicare Team in ... Cincinnati Ohio Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

Job Information Humana Medical Director - Texas in Cincinnati Ohio ... Cincinnati Ohio Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Job Information Humana Medical Director - Florida Medicaid in Cincinnati ... Cincinnati Ohio Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

... Medicare Appeals and Grievance Medical Director in Cincinnati Ohio Description The ... Cincinnati Ohio Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..

Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..

Job Information Humana Associate Director, Provider Relations (Ohio Medicaid) - ... Horizons is seeking an Associate Director, Provider Relations who will oversee ... Experiences for its providers and compliance with..

Job Information Humana Medical Director - S. Florida in Cincinnati ... Cincinnati Ohio Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Job Information Humana Director, Contract Tools, Education, Processes (remote ... in Cincinnati Ohio Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..

... and Risk Adjustment National Medical Director in Cincinnati Ohio Description The ... in Cincinnati Ohio Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..