Healthcare Compliance Jobs

  The College of Medicine, Department of Obstetrics & Gynecology, is seeking a Business Administrator for the following:    Job Summary:   Direct financial and administrative activities for complex division(s) of 15+ Faculty ..

Current UC employees must apply internally via SuccessFactors > http://bit.ly/UCEMPL   The University of Cincinnati is a premier, public, urban research university; ranked as one of America’s top 26 public research universities ..

Internal applicants must apply internally via SuccessFactors > http://bit.ly/UCEMPL   The University of Cincinnati, founded in 1819, is a premier, public, urban research university located in the heart of Cincinnati, Ohio. The ..

Description The Care Management Support Assistant 2 (CMSA2) contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

  The Department of Psychiatry and Behavioral Neurosceince at the University of Cincinnati (UC), College of Medicine (COM) is seeking a Licensed Indepedent Social Worker (LISW) to provide clinical mental health ..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

Internal applicants must apply internally via SuccessFactors > http://bit.ly/UCEMPL   Are you ready to build a Community of Care at the University of Cincinnati? Counseling and Psychological Services (UC-CAPS) is looking for ..

Internal applicants must apply internally via SuccessFactors > http://bit.ly/UCEMPL   The Hoxworth Blood Center is currently accepting applications for a Donor Services Field Manager. This position will manage the donor service collection ..

... performing complex tasks related to compliance with accreditation standards across multiple ... performing complex tasks related to compliance with accreditation standards across multiple ... resolving deficiencies that impact plan..

Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..

... Associate Degree in Business Management Healthcare Management Technology. Course may include ... may include physician practice management, healthcare finance and compliance. You are invited to submit ... Minimum Qualifications:..

Description The Dental Director (part-time) provides dental interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Responsibilities The ..

Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..

... Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description ... Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

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..

  The Department of Neurology and Rehabilitation Medicine is seeking a full-time (32-40 hours per week) Research Nurse.  This position will apply professional knowledge, skills and training to help conduct research ..

... Information Humana Actuary, Risk and Compliance in Cincinnati Ohio Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..

... population health goals and ensuring compliance with all contract, state, and ... local market lead for accreditation compliance. The Associate Director, Quality Improvement ... oversight of quality investigations and..

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 ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Internal applicants must apply internally via SuccessFactors > http://bit.ly/UCEMPL   The University of Cincinnati is a premier, public, urban research university; ranked as one of America’s top 26 public research universities by ..

Job Information Humana Director Medicaid Provider Services (State of OH) in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the plan's strategic provider services, provider engagement and network development. They ..

Description The Contract Administrator (Compliance Lead) ensures compliance with governmental requirements. The Compliance Lead works on problems of ... substantial. Responsibilities The Contract Administrator (Compliance Lead) will provide strategic guidance..