Director Healthcare Compliance Jobs

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

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

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

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

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..

Oncology Business Director Developing innovative therapies is one ... is announcing an Oncology Business Director opportunity in the Great Lakes ... data & analytics, ethics & compliance, HR, legal, and..

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..

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

... the supervision of the Executive Director of Project Implementation and Management, ... Project Implementation and Management, the Director and Faculty Liaison will be ... is a subaward recipient. The..

... in Indiana is seeking a Director, Provider Services (Director, Provider Engagement) who will lead ... engagement and practice transformation. The Director, Provider Services (Director, Provider Engagement) will be responsible..

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

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 UM Medical Director - Conviva in Indianapolis Indiana ... Indianapolis Indiana 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..

Job Information Humana Medical Director - Texas in Indianapolis Indiana ... Indianapolis Indiana 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..

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 Medical Director - Medicare Pharmacy Appeals in ... Indianapolis Indiana Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..

... and compassionate nurse leader! The Director of Nursing is responsible for ... with the Administrator and Senior Director of Nursing to ensure compliance and excellent patient care. Key .....

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

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

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

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