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Description The Compliance Lead (Medicaid Contract Administrator) ensures ... Lead (Medicaid Contract Administrator) ensures compliance with governmental requirements, works on ... from moderate to substantial. The Compliance Lead (Medicaid Contract..
... Information Humana Senior Insurance Product Compliance Professional in Lancaster South Carolina ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..
Job Information Humana Baylor RN, Home Health in Monroe North Carolina Description The Baylor Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, ..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) relies ... guidance to ensure..
... resources. Maintains focus on all healthcare quality and affordability initiatives (HCQAI’s). Established ... home health agency regulations and compliance standards and regulations Knowledge of ... raise the bar on..
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..
... Information Humana Medicaid Associate Director, Compliance Nursing in Lancaster South Carolina ... Carolina Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description Responsibilities The Quality Improvement Lead provides strategic leadership ... for Humana's South Carolina Medicaid Quality Program, in alignment with organizational ... Program, in alignment with organizational quality and population..
... 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..
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 Bilingual Quality Auditor in Lancaster South Carolina ... South Carolina Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician..
Job Information Humana Senior Quality Compliance Professional in Lancaster South Carolina ... South Carolina Description The Senior Quality Compliance Professional completes annual quality reviews and research. The Senior ... reviews..
... 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..
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 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 Quality Improvement Coordinator in Lancaster South ... Lancaster South Carolina Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
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..
... 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..
Job Information Humana Compliance Nurse - Conviva - Remote, ... in Lancaster South Carolina Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as..