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... Information Humana Medicaid Associate Director, Compliance Nursing in Albany New York ... York 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 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%..
... to COVID As a Clinical Quality Assurance (QA) Analyst, you will ... our clients through today's ever-changing healthcare landscape. Your day-to-day role as ... New York State and their..
... Information Humana Senior Insurance Product Compliance Professional in Albany New York ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..
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..
... your next career move. Delivering quality care starts with ensuring our ... care. As a Senior Clinical Quality Analyst, you will support health ... you will support health plan..
... through 12/31/2022 As a Clinical Quality Assurance (QA) Analyst, you will ... our clients through today's ever-changing healthcare landscape. Your day-to-day role as ... New York State and their..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... Albany New York 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 Bilingual Quality Auditor in Albany New York ... New York Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
Job Information Humana Quality Improvement Coordinator in Albany New ... Albany New York Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
... (DM), population health management, contract compliance, quality improvement, and pilot/value-based payment programs. ... and Responsibilities Lead clinical and quality management components of HGB's Integrated ... with effective implementation of..
... Albany New York 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, 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..
Title: Quality Assurance Analyst Location: Albany, NY. ... health home policies to determine compliance based on state and federal ... health home charts to determine compliance based on state and..
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..
... Duration: through 3/31/2023 As a Quality Assurance Analyst, you will collaborate ... our clients through today's ever-changing healthcare landscape. Your day-to-day role as ... Duties: Evaluate child/youth's case for..
... Update as process change for compliance and oversight of appropriate materials ... company training requirements for company, quality, and regulatory compliance. Analyzes course evaluations in order ... 1 or..
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..
... due to COVID As a Quality Assurance (QA) Analyst, you will ... our clients through today's ever-changing healthcare landscape. Your day-to-day role as ... New York State and their..
... 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..
... Duration: through 12/31/2022 As a Quality Assurance (QA) Analyst, you will ... our clients through today's ever-changing healthcare landscape. Your day-to-day role as ... New York State and their..