Director Healthcare Compliance Jobs

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

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

Job Information Humana Medical Director - Texas in Honolulu Hawaii ... Honolulu Hawaii 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..

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

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 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 ... Business's (HGB) Behavioral Health Medical Director will provide..

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

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..

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

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..

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 ... Responsibilities Job Profile The Medical Director actively uses..

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

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

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Honolulu Hawaii Description The Medical Director relies on clinical background and ... Medicare drug requests. 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 Medical Director - S. Florida in Honolulu ... Honolulu Hawaii Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

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 The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..

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..

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..