Director Healthcare Compliance Jobs

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

Job Information Humana Associate Director, Health Information Management in Colorado ... Springs Colorado 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 Colorado ... Springs Colorado Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..

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

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

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 actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..

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..

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

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..

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

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

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

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 ..

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..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director..

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..

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

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

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..

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

SCOPE The Behavioral Health Clinical Director is primarily responsible for leading and directing the organizations medically necessary services that are referred to the organization. This position will supervise the Behavioral Health ..