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..

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 ..

... Information Humana Medicaid Associate Director, Compliance Nursing in Washington District Of ... Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

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

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

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 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 Washington District Of ... Of Columbia Description Responsibilities The Manager, Certifications Operations reviews the applicant's ... and recommends changes that assure compliance with contract..

... dialysis staff, physicians and other healthcare professionals. Services are generally provided ... philosophy. Adheres to the FMS Compliance Program, including following all regulatory ... other members of the patient’s..

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..

... global law firm, seeks a Healthcare and Life Sciences Business Development ... and Life Sciences Business Development Manager with a focus on the ... a focus on the core..

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 ... Columbia 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 Washington ... Columbia Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..

Ambulatory Svcs OPS & PI Manager (EVERGREEN) ','230001JY','!*!The Operations and Process ... ','230001JY','!*!The Operations and Process Improvement Manager for Ambulatory Services will facilitate, ... Transformation, the Operations and PI 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 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..

Full-Time/Regular REGISTERED NURSE - Risk Manager INTRODUCTION The ICE Health Services ... staff and contractors comprise the healthcare professionals working together to provide ... working together to provide quality healthcare..

... wellness and continued learning. The Manager, Psychology will be a member ... interns, externs and fellows. The Manager will coordinate appropriate training to ... across schools, and ensure provider..

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

Description In collaboration with the Director of Ambulatory Services and other members of the management team, provide administrative and business leadership for the Children's National ambulatory facility(s). Qualifications Minimum Education Bachelor's ..

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..