Healthcare Quality Compliance Jobs in Maryland

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 Bethesda Maryland Description ... Maryland 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..

... of appropriate reimbursement, research and compliance with federal and state regulations ... purpose of reimbursement, research and compliance with federal and state regulations. ... to new employees Reports coding..

... 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..

... the organization's business plans in compliance with the Health Services Cost ... ensure accurate revenue recognition and compliance. These reports include, but are ... and accurate data capture in..

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

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

What You Will Do: General Summary Under limited supervision and with the latitude for initiative and independent judgement, this position conducts Case Mix analysis and reporting. This position works closely with ..

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%..

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..

... . If you haven't considered Healthcare before, read on as we ... as we think you should. Healthcare Experience is NOT required. For ... year after year. As a..

Job Information Humana Quality Improvement Coordinator in Bethesda Maryland ... in Bethesda Maryland 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..

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

Inpatient Hospital Coding Compliance Auditor The Inpatient Hospital Coding ... Auditor The Inpatient Hospital Coding Compliance Auditor will provide expert auditing ... audits. Primary Responsibilities: Perform coding compliance and quality..

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

What You Will Do: Healthcare Info Analyst II Full Time, ... report results on clinical outcomes, compliance and standards of care. Analyst ... and support for System clinical quality reporting..

... the organization's business plans in compliance with the Health Services Cost ... ensure accurate revenue recognition and compliance. These reports include, but are ... and accurate data capture in..

What You Will Do: Quality & Safety Coord, Sr Full-time ... supervision, plans, coordinates and leads quality improvement and patient safety initiatives ... the organization. Accountable for overall quality of..

... general supervision, oversees and coordinates quality reporting and outcomes management of ... patients. Responsible for coordinating departmental quality improvement activities to ensure consistency ... to maintain and improve the..