THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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... performance, policies and procedures, ensuring compliance with legal, organizational, and home ... progressive leadership experience in the healthcare industry with a background in ... knowledge of accreditation standards and..
... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... Humana's National Claims Cost Management Vice President. Responsibilities Essential Functions and Responsibilities ... out the provisions of..
... 40) market leader in integrated healthcare with a clearly defined purpose ... the newly-created role of Associate Vice President, Digital Experience - Shopping, Enrollment, ... will report directly to..
... in Metairie Louisiana Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
... 40) market leader in integrated healthcare with a clearly defined purpose ... the newly-created role of Associate Vice President, Digital Experience - Self-Service. In ... will report directly to..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... in Metairie Louisiana Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... strategic initiatives. Responsibilities The Associate..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... 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 meets..
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 ..
