Healthcare Quality Compliance Jobs in Georgia

... testing Identify gaps in the quality assurance and testing processes, generate ... bugs are resolved Help ensure compliance with client, agency, and company ... detail Salesforce, Appian, and/or previous..

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 Quality Assurance, Clinical Professional 2 consults ... to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work ... courses of action. Responsibilities The..

... of professionals focusing on superior quality service delivery to our customers. ... an exciting opportunity for a Compliance Manager! Assists the Director, Compliance Services with overseeing and tracking .....

Job Information Humana Compliance Nurse - Conviva - Remote, ... TX/FL/GA/LA/SC in Atlanta Georgia Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as..

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..

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

Job Information Humana Senior Quality Compliance Professional in Atlanta Georgia Description ... Atlanta Georgia Description The Senior Quality Compliance Professional completes annual quality reviews and research. The Senior ... reviews..

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..

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..

... and/or support systems utilized for healthcare applications. This role assesses systems ... being evaluated for use in healthcare applications and provides training and ... IT, etc.), investigates and resolves..

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..

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

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

Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional ... to ensure high accountability of compliance and quality and claims are being reviewed ... implements programs to establish high..

... Kindred at Home Director Clinical Quality Analytics - Remote position in ... Atlanta Georgia The Director, Clinical Quality Analytics manages across multiple cross-functional ... to large complex clinical and..

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 Summary The Healthcare Quality Assurance (QA) Validation Specialist is ... computer system validation activities and compliance with regulatory requirements in UPS ... in UPS Supply Chain Solutions healthcare computer..

... Information Humana Medicaid Associate Director, Compliance Nursing in Atlanta Georgia Description ... Georgia Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

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

Description The Senior Quality Assurance, Clinical Professional requires being ... to ensure high accountability of compliance and quality and will work assignments involving ... Categories) coding documentation guidelines and compliance..

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..

... 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..