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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 Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
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 ..
... Kindred at Home RN Clinical Manager Home Health Full Time - ... in Tampa Florida The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
... is seeking an Associate Director, Quality Compliance Nursing that works with ... highest accountability of compliance and quality. The Associate Director, Quality Compliance Nursing requires a solid ... Company!..
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 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 ..
Description The Vendor Quality Medical Director will manage clinical ... Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Director to manage clinical vendor quality outcomes for..
... Humana RN, Compliance Nurse 2 (Quality Assurance Audit) - Remote in Tampa ... individuals. Perform pre-service denial and quality assurance audits and summarize findings for ... utilization management, pre-service..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
Description The Manager, Risk Adjustment oversees coding educators ... Adjustment oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment..
... Kindred at Home Tampa Clinical Manager in Tampa Florida The Clinical ... in Tampa Florida The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
Description The Manager, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific ... schedules and goals. Responsibilities The Manager, Compliance Nursing ensures..
Description Regional Practice Manager Location Address: Winter Haven, FL ... Assist with designing and implementing quality, cost effective, and efficient patient ... including formal procedures, to ensure quality patient care..
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..
... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... guidelines/procedures. Primary responsibilities for the..
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) ... programs to establish and maintain quality standards of existing products and ... Wellness Assessments. The Associate Director, Quality..
Job Information Humana Bilingual Quality Auditor in Tampa Florida Description ... Tampa Florida Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
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 Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Tampa Florida Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Tampa Florida The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
