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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
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 ..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Tampa Florida Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Tampa Florida Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
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 Regional Practice Manager Location Address: Winter Haven, FL Top Reasons to Work at AdventHealth Faith Based & Mission driven Facility Largest Employer in the County Surrounded by beautiful Lakes, Golf ..
... Kindred at Home RN Clinical Manager Home Health Full Time - ... in Tampa Florida The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
Job Information Humana Technical Product Manager - Remote in Tampa Florida ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Job Information Humana Bilingual Quality Auditor in Tampa Florida Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Job Information Humana RN, Compliance Nurse 2 (Quality Assurance Audit) - Remote in Tampa Florida Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to ..
Description Humana is seeking an Associate Director, Quality Compliance Nursing that works with physicians/physician groups to ensure highest accountability of compliance and quality. The Associate Director, Quality Compliance Nursing requires a ..
... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
... Kindred at Home Tampa Clinical Manager in Tampa Florida The Clinical ... in Tampa Florida The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) develops and implements programs to establish and maintain quality standards of existing products and services pertaining to In Home Wellness ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Tampa Florida The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..
