THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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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 Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... monitoring all related behavioral health regulatory..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..
Job ID 21000MLSAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..
Title: Healthcare Compliance Analyst Location: Albany, NY - ... Duties Evaluate child/youth's case for compliance to applicable regulations. Clearly communicate ... data and documentation to support compliance findings. Utilize technology..
DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own.Connect with your goals and change liveswith ..
... Albany New York Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Job ID 21000NCQAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
... journey to change the way healthcare is delivered today. We are ... journey to change the way healthcare is delivered today. We are ... • Promotes/supports quality effectiveness of..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..
Contact Agency Mental Health, Office of Title Mental Health Program Specialist 2 – Two positions, Central Office Occupational Category Other Professional Careers Salary Grade 23 Bargaining Unit PS&T - Professional, Scientific, ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
... 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..
Job ID 21000L6OAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..
... our clients through today's ever-changing healthcare landscape. Your day-to-day role as ... New York State and their compliance with the Home and Community ... Duties Evaluate the case for..
... Information Humana Actuary, Risk and Compliance in Albany New York Description ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..
... our clients through today's ever-changing healthcare landscape. Your day-to-day role as ... New York State and their compliance with the Home and Community ... Duties: Evaluate the case for..
Job ID 21000LSNAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
