Director Healthcare Compliance Jobs

... love of challenge. The Associate Director, Patient Assistance Compliance and Quality Assurance will be ... will be responsible for overseeing Compliance for Patient Services, covering all ... creative solutions..

Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..

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

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

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

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, Contract Tools, Education, Processes (remote ... City New Jersey Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..

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 ... New Hampshire. Responsibilities The Medical Director provides medical..

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

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 Jersey ... New Jersey Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

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

Job Information Humana Medical Director of Long Term Care, Florida ... The Long Term Care Medical Director supports the Long Term Care ... contractual requirement. Responsibilities The Medical Director provides..

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

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

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 Medical Director - Medicare Pharmacy Appeals in ... New Jersey Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..

Job Information Humana Director, Informatics in Jersey City New ... City New Jersey Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

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

... Medicare Appeals and Grievance Medical Director in Jersey City New Jersey ... New Jersey Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..