Director Healthcare Compliance Jobs

Job Information Humana (RN)Associate Director, Care Management - Oklahoma City, ... Tulsa Oklahoma Description The Associate Director, Care Management leads teams of ... for care management. The Associate Director, Care..

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

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

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 Director, Informatics in Tulsa Oklahoma Description ... in Tulsa Oklahoma Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

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..

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

Job Information Humana Medical Director - Texas in Tulsa Oklahoma ... Tulsa Oklahoma 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 Tulsa ... Tulsa Oklahoma Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..

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 - Medicare Pharmacy Appeals in ... Tulsa Oklahoma Description The Medical Director relies on clinical background and ... Medicare drug requests. 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..

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

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..

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

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 - Florida Medicaid in Tulsa ... Tulsa Oklahoma 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..

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

Description The Quality Management Director provides strategic leadership for Humana's ... population health goals and ensuring compliance with all contract, state, and ... setting Responsibilities The Quality Management Director provides..

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

... Information Humana Behavioral Health Medical Director - Oklahoma Medicaid in Tulsa ... Humana's Oklahoma Medicaid BH Medical Director will oversee our behavioral health ... payment programs. The BH Medical..