Healthcare Compliance Manager Jobs in Hauppauge

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 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..

Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..

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

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..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

... Kindred at Home RN Clinical Manager in Hauppauge New York The ... Hauppauge New York The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..

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

Director of Healthcare Epidemiology Position Summary: The Director ... Position Summary: The Director of Healthcare Epidemiology is an important role ... Duties of the Director of Healthcare Epidemiology may include..

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 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). ..

Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..

Posted: 23-Feb-22 Location: Stony Brook, New York Type: Full Time Categories: General Nursing Registered Nurse Sector: College / University Internal Number: 2876786 Nurse Manager - Adult Inpatient Psychiatry Position Summary At ..

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

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

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 ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, ... Grievances and Appeals Learning Facilitation Manager Oversee a team of instructors ... Update as process change for compliance and oversight..

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..

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 ..

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

... 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..