Healthcare Compliance Manager Jobs

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 Portland Maine Description ... Maine 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..

... is calling a Clinical Case Manager (LCSW) - Utilization Review Quality ... are seeking a Clinical Case Manager (LCSW) - Utilization Review Quality ... factors that impact a person's..

... is calling a Safety/Environmental Health Manager - Risk Compliance And Safety (1.0 FTE, Days) ... are seeking a Safety/Environmental Health Manager - Risk Compliance And Safety that will be..

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 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..

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 ..

Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC ... Portland Maine Description The Care Manager, Telephonic Behavioral Health 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, 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). ..

... experience managing contracts in a healthcare setting. 5 years of experience ... 5 years of experience in healthcare related payer or provider contracting. ... **Preferred qualifications:** Master's Degree in..

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

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 Portland ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... auditing for quality and clinical compliance,..

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

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 ..

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

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..

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 ..