Healthcare Compliance Manager Jobs in Lancaster

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 Lancaster South Carolina ... Carolina 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..

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..

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

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). ..

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

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 - Ancillary Products in Lancaster ... Carolina Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..

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 Care Manager, Telephonic Registered Nurse, (RN) 2 ... South Carolina Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

Job Information Humana Senior Quality Compliance Professional in Lancaster South Carolina ... Carolina Description The Senior Quality Compliance Professional completes annual quality reviews ... and research. The Senior Quality 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 ..

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 ..

... Humana RN Telephonic Transplant Care Manager-WAH in Lancaster South Carolina Description ... South Carolina Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care..

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

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 RN-Care Manager, Behavioral Health-RN in an eNLC ... South Carolina Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic..

Job Information Humana Compliance Lead - Illinois Medicaid in ... Lancaster South Carolina Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....

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..

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

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..

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..