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... for validation and support of healthcare providers (oncologists/hematologists/APP/Pharmacists) on our promotional ... questions, ensuring medical accuracy and compliance with local procedures, ethical and ... Actively assess the medical and..
Job ID 21000FTCAvailable Openings 1Position Specific Information Become a Member of the Akron Acute Team Provide Dialysis Treatments in a Hospital Setting Current Dialysis Experience and OCDT Required Acute PCT's Eligible ..
Job ID 21000N08Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Job ID 21000N1WAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Description The Senior Quality Compliance Nurse Professional is an integral part of the Ohio Quality Improvement Department. This role will collaborate with internal and external customers to complete fast-paced and time ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Company Overview: Job Description: Patient Services Representative Merit Dental is now part of the Smile Brands family! Are you passionate about supporting a team dedicated to providing top notch dental care, ..
Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff to ..
PURPOSE AND SCOPE: Performing general office duties incorporating a variety of basic and routine clerical and secretarial duties in a clinical environment.PRINCIPAL DUTIES AND RESPONSIBILITIES:Under direct/close supervision, performs a variety of ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..
Job ID 21000MVKAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Posted: 25-Feb-22 Location: Akron, Ohio Salary: Open Categories: General Nursing Internal Number: 6569 About Akron Children's Hospital Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties ..
Job Information Humana Quality Improvement Coordinator in Canton Ohio Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
