Healthcare Quality Compliance Jobs in Franklin

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 Indianapolis Indiana Description ... Indiana Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

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..

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..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... on medical record documentation for quality and clinical compliance with contract requirements as outlined ... CPT Codes. KEY ACCOUNTABILITIES 95%..

Wanted : Top notch, quality obsessed, team-oriented, and compassionate nurse ... Director of Nursing to ensure compliance and excellent patient care. Key ... and has a focus on quality care...

... in Indianapolis Indiana Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician..

Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky ... line of business. This includes quality compliance and quality improvement activities such as the ... activities such..

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 Senior Quality Compliance Nurse (RN) utilizes quality improvement methodology and works collaboratively ... and interdisciplinary teams to monitor quality, outcomes, and compliance processes. This role works with .....

Job Information Humana Bilingual Quality Auditor in Indianapolis Indiana Description ... Indianapolis Indiana Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..

... SCOPE: Manages the provision of quality patient care in an independent ... in accordance with all legal, compliance, and regulatory requirements and programs. ... costs, operational methods, growth, and..

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..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... procedures, and training and in compliance with regulations set forth by ... the FMCNA commitment to the..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..

Job Information Humana Quality Improvement Coordinator in Indianapolis Indiana ... in Indianapolis Indiana Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..

... 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..

... in Indianapolis Indiana Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) relies ... guidance to ensure..

Job Information Humana Quality Compliance Nurse Professional 2 - Louisville, ... in Indianapolis Indiana Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to analyze data ... collaboratively..

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..

Combine two of the fastestgrowing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving ..

... Information Humana Senior Insurance Product Compliance Professional in Indianapolis Indiana Description ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..

... Licensed Behavioral Health Professional - Quality Audit in Indianapolis Indiana Description ... seeking a Licensed Behavioral Health Quality Audit Professional. This position ensures ... is completed. Conducts and summarizes..