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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 ..
... Information Humana Medicaid Associate Director, Compliance Nursing in Metairie Louisiana Description ... Louisiana Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... are committed to providing personalized, high-quality primary care combined with an ... environment for all. Responsibilities The Compliance Professional 2 develops and implements ... Professional 2 develops and implements..
Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... courses of action. Responsibilities The Compliance Nurse 2 Role..
Job Information Humana Compliance Nurse - Conviva - Remote, ... TX/FL/GA/LA/SC in Metairie Louisiana Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as..
Job Information Humana Director, Quality Improvement in Metairie Louisiana Description ... Metairie Louisiana Description The Director, Quality Improvement implements quality improvement programs for all lines ... and annual evaluation. The..
... in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health ... with BH community resources. Each Quality Audit Professional 2 will be ... a preliminary overview of completed..
... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... fraud, waste, and abuse. The Compliance Nurse work assignments are varied ... schedule and overtime. Responsibilities The..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional..
Description The Manager, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... and goals. Responsibilities The Manager, Compliance Nursing ensures..
PURPOSE AND SCOPE:The student intern supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. The student ..
Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..
Job Information Humana Quality Improvement Coordinator in New Orleans ... New Orleans Louisiana Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
... procedures, and training and in compliance with regulations set forth by ... the organization commitment to the Quality Enhancement Program (QEP) and CQI ... patients will achieve the organization..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are ... courses of action. Responsibilities The Quality Compliance Professional 2..
... Information Humana Senior Insurance Product Compliance Professional in Metairie Louisiana Description ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..
Description Responsibilities The Senior Quality Compliance Professional uses quality compliance and improvement tools and methodology ... Louisiana Medicaid enrollees. The Senior Quality Compliance Professional has proven data analysis ... maternal..
Job Information Humana Quality Improvement Coordinator in Metairie Louisiana ... in Metairie Louisiana Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
