Director Healthcare Compliance Jobs

Job Information Humana Medicaid Associate Director, Compliance Nursing in Dover Delaware Description ... Dover Delaware Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..

Job Information Humana Associate Director, Health Information Management in Dover ... Dover Delaware Description The Associate Director, Health Information Management ensures data ... encounter submissions systems. The Associate Director, Health..

Job Information Humana Medical Director of Long Term Care, Florida ... The Long Term Care Medical Director supports the Long Term Care ... contractual requirement. Responsibilities The Medical Director provides..

... and Risk Adjustment National Medical Director in Dover Delaware Description The ... in Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..

Job Information Humana Medical Director - National Medicare Team in ... Dover Delaware Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director..

Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..

Job Information Humana Medical Director - Texas in Dover Delaware ... Dover Delaware Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and..

Job Information Humana Medical Director - Florida Medicaid in Dover ... Dover Delaware Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..

Job Information Humana Medical Director - S. Florida in Dover ... Dover Delaware Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Dover Delaware Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Dover ... Dover Delaware Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..

... Medicare Appeals and Grievance Medical Director in Dover Delaware Description The ... Dover Delaware Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..

Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..

Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..

Job Information Humana Director, Contract Tools, Education, Processes (remote ... in Dover Delaware Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..

Job Information Humana Director, Informatics in Dover Delaware Description ... in Dover Delaware Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..

Job Information Humana UM Medical Director - Conviva in Dover Delaware ... Dover Delaware Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..