Healthcare Compliance Manager Jobs in Greenfield

Description The Senior Product Manager - Fully Insured supports strategy ... business. Responsibilities The Senior Product Manager supports all phases of the ... desired outcomes. The Senior Product Manager will..

... Information Humana Medicaid Associate Director, Compliance Nursing in Indianapolis Indiana Description ... Indiana Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

Description The Lead Product Manager for Specialty products leads all ... Position Overview The Lead Product Manager Leads all phases of the ... Key Responsibilities The Lead Product Manager works..

Job Information Humana Manager, Credentialing in Indianapolis Indiana Description ... Indianapolis Indiana Description Responsibilities The Manager, Certifications Operations reviews the applicant's ... and recommends changes that assure compliance with contract..

Description The Senior Quality Compliance Nurse (RN) utilizes quality improvement ... to monitor quality, outcomes, and compliance processes. This role works with ... to ensure highest accountability of compliance and..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

PURPOSE AND SCOPE: Manages the provision of quality patient care in an independent home therapy program while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and ..

... a strong rapport with the healthcare consumer, host and community. Represent ... practices and company initiatives. *Ensure compliance with recordkeeping and occurrence reporting ... relationship with collaborating physicians, other..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Indianapolis Indiana Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... in accordance with all legal, compliance, and regulatory requirements and programs. ... all requirements of the FMCNA..

... work.(sm) The utilization management (UM) manager is responsible for the supervisory ... discharge planning functions. The UM manager actively participates in management decision ... management decision making to verify..

... like this one Title Clinical Manager (325) About the Organization The ... billing, collaborative effort with business manager. Skill in applying and modifying, ... Oversees clinical nursing care, ensuring..

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Indianapolis ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... auditing for quality and clinical compliance,..

Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..

Description The Care Manager, Telephonic Nurse 2 employs a ... skills. This is a very compliance driven and highly visible program ... the auto dialer process and compliance needs of..

Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..

Job Information Humana Lead Product Manager - Group Dental, Vision and ... Indiana Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..

Job Information Humana Lead Product Manager - Ancillary Products in Indianapolis ... Indiana Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..

Job Information Humana Manager of Fraud and Abuse Data ... Indianapolis Indiana Description Responsibilities The Manager of Fraud and Abuse Data ... TRICARE Policy Manuals and ensures compliance with applicable..

Description The Manager, Quality Improvement implements quality improvement ... of business. This includes quality compliance and quality improvement activities such ... Diagnosis and Testing (EPSDT). The Manager, Quality Improvement works..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... in accordance with all legal, compliance, and regulatory requirements and programs. ... all requirements of the FMCNA..

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). ..