Healthcare Compliance Manager Jobs in Delaware | HealthcareCrossing.com


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27

Healthcare Compliance Manager Jobs in Delaware

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Company
**********
Location
Dover, DE
Posted Date
Nov 27, 2020
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Dover, DE
Posted Date
Dec 09, 2020
Info Source
Employer  - Full-Time  90  

Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... you succeed, we succeed! The Manager, Care Management oversees..

 
Company
Humana Inc.
Location
Dover, DE
Posted Date
Feb 13, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... compact state The Transplant Care Manager, Telephonic Nurse..

 
Company
**********
Location
Dover, DE
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

... within a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..

 
Company
**********
Location
Dover, DE
Posted Date
Jun 26, 2023
Info Source
Employer  - Part-Time    90  

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 ..

 
Company
**********
Location
Dover, DE
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

 
Company
**********
Location
Dover, DE
Posted Date
Jun 11, 2021
Info Source
Employer  - Full-Time  90  

... (ACD) team performance to ensure compliance with contract and complex ACD ... ACD associates to assure performance compliance. Advises leadership to develop functional ... ACCOUNTABILITIES 30 % Ensures performance..

 
Company
Humana Inc.
Location
Dover, DE
Posted Date
Mar 15, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Product Manager - Fully Insured supports strategy ... business. Responsibilities The Senior Product Manager supports all phases of the ... desired outcomes. The Senior Product Manager will..

 
Company
**********
Location
Dover, DE
Posted Date
Aug 26, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

 
Company
**********
Location
Dover, DE
Posted Date
Mar 31, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..

 
Company
**********
Location
Dover, DE
Posted Date
Jul 27, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Humana Inc.
Location
Dover, DE
Posted Date
Mar 15, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..

 
Company
**********
Location
Dover, DE
Posted Date
Sep 20, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Dover, DE
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Dover, DE
Posted Date
May 26, 2021
Info Source
Employer  - Full-Time  90  

Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..

 
Company
**********
Location
Dover, DE
Posted Date
Apr 04, 2021
Info Source
Employer  - Full-Time  90  

Description The Lead Product Manager for Specialty products leads all ... Position Overview The Lead Product Manager Leads all phases of the ... Key Responsibilities The Lead Product Manager works..

 
Company
Humana Inc.
Location
Dover, DE
Posted Date
Jul 25, 2021
Info Source
Employer  - Full-Time  90  

Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..

 
Company
**********
Location
Dover, DE
Posted Date
Feb 20, 2021
Info Source
Employer  - Full-Time  90  

Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..

 
Company
**********
Location
Dover, DE
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..

 
Company
**********
Location
Dover, DE
Posted Date
Mar 26, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Dover, DE
Posted Date
Feb 14, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

 
Company
**********
Location
Dover, DE
Posted Date
Apr 09, 2021
Info Source
Employer  - Full-Time  90  

Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..

 
Company
**********
Location
Dover, DE
Posted Date
May 16, 2021
Info Source
Employer  - Full-Time  90  

Description The Transplant Care Manager, Telephonic Nurse 2 , in ... of members. The Transplant Care Manager, Telephonic Nurse 2 work assignments ... home anywhere The Transplant Care Manager, Telephonic..

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