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... Information Humana Medicaid Associate Director, Compliance Nursing in Salem Oregon Description ... Oregon Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
:,ActualValueFromSolar:null},{QuestionName:Work Location,AnswerValue:Winston Salem, NC - 329 ,VerityZone:location,QuestionType:select,ActualValueFromSolar:null},{QuestionName:Job Purpose,AnswerValue:The Registered Nurse is responsible for providing emergency response care, first aid and episodic treatment of occupational injuries and illnesses. RN will maintain accurate ..
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 ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Salem Oregon Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
... including headcount planning to ensure compliance with state requirements o Perform ... development and administration o Ensure compliance with all state regulatory financial reporting and overall state ... the..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Salem Oregon Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
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..
... Information Humana Actuary, Risk and Compliance in Salem Oregon Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..
... occurs within a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and..
... experience by increasing focus on healthcare services.OperationsResponsible for assisting pharmacist in ... of a pharmacist assists with healthcare service offerings including administering vaccines, ... exercises independent judgment to ensure..
... in Salem Oregon Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... in Salem Oregon Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
... occurs with a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and..
... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... occurs with..
Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..
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 21000G2OAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
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..
