Director Healthcare Compliance Jobs

Job Information Humana Medicaid Associate Director, Compliance Nursing in Washington District Of ... Of Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..

Job Information Humana Associate Director, Health Information Management in Washington ... Of Columbia Description The Associate Director, Health Information Management ensures data ... encounter submissions systems. The Associate Director, Health..

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..

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 Medical Director - National Medicare Team in ... Of Columbia Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

Job Information Humana Medical Director - Florida Medicaid in Washington ... Of Columbia 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..

The VP, Advisory Services (Managing Director) will join a Practice team and utilize their deep subject matter expertise and understanding of business issues help our clients optimize business operations. Duties and ..

Job Information Humana Director, Informatics in Washington District Of ... District Of Columbia Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Washington ... Of Columbia 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 Description Summary The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Description 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 faculty dentist is responsible for the care of patients in the hospital and clinics, as well as research, educational and advocacy initiatives as determined by the Division Chief and/or ..

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

Director - Ambulatory Transformation (EVERGREEN)','2300016R','!*!The Director of Ambulatory Transformation (AT) reports ... reports directly to the Executive Director, Ambulatory Services, CNH and collaborates ... roadmap of Ambulatory Transformation. The Director..

Job Information Humana Director, Contract Tools, Education, Processes (remote ... District Of Columbia Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..

... Medicare Appeals and Grievance Medical Director in Washington District Of Columbia ... Of Columbia Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..

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 - Texas in Washington District ... Of Columbia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

... and Risk Adjustment National Medical Director in Washington District Of Columbia ... District Of Columbia Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..

Job Information Humana UM Medical Director - Conviva in Washington District ... Of Columbia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

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