Healthcare Compliance Manager Jobs in Rhode Island | HealthcareCrossing.com


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106

Healthcare Compliance Manager Jobs in Rhode Island

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Company
**********
Location
Newport, RI
Posted Date
Mar 21, 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
Newport, RI
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

... Information Humana Medicaid Associate Director, Compliance Nursing in Newport Rhode Island ... Island Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

 
Company
**********
Location
Newport, RI
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
Newport, RI
Posted Date
Aug 27, 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
Newport, RI
Posted Date
Feb 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager of Fraud and Abuse Data ... Rhode Island Description Responsibilities The Manager of Fraud and Abuse Data ... TRICARE Policy Manuals and ensures compliance with applicable..

 
Company
**********
Location
Newport, RI
Posted Date
Mar 04, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..

 
Company
**********
Location
Newport, RI
Posted Date
Mar 13, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Credentialing in Newport Rhode Island ... Rhode Island Description Responsibilities The Manager, Certifications Operations reviews the applicant's ... and recommends changes that assure compliance with contract..

 
Company
Humana Inc.
Location
Newport, RI
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
Newport, RI
Posted Date
Nov 18, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Newport ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... auditing for quality and clinical compliance,..

 
Company
**********
Location
Providence, RI
Posted Date
Aug 13, 2021
Info Source
Employer  - Full-Time  90  

Behavioral Health Program Development Manager (Full Time) Location: Providence,RI Seeking ... organized Behavioral Health Program Development Manager to work in our busy ... Services division. The Program Development Manager will..

 
Company
**********
Location
Newport, RI
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
**********
Location
Newport, RI
Posted Date
Feb 23, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Rhode Island Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

 
Company
**********
Location
Newport, RI
Posted Date
Aug 26, 2022
Info Source
Employer  - Full-Time  90  

Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..

 
Company
**********
Location
Newport, RI
Posted Date
Jul 21, 2022
Info Source
Employer  - Full-Time  90  

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 07, 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
Newport, RI
Posted Date
Jun 11, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Newport, RI
Posted Date
Oct 31, 2021
Info Source
Employer  - Part-Time    90  

Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
May 18, 2023
Info Source
Employer  - Full-Time  90  

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, ... Grievances and Appeals Learning Facilitation Manager Oversee a team of instructors ... Update as process change for compliance and oversight..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Lead Product Manager - Group Dental, Vision and ... Island Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..

 
Company
Genesis HealthCare
Location
Warren, RI
Posted Date
May 27, 2023
Info Source
Employer  - Full-Time  90  

... is a leading provider of healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion! We Care ... goals as our Business Office..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
May 12, 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
Woonsocket, RI
Posted Date
Feb 14, 2024
Info Source
Employer  - Full-Time   

Team Leader – Supervised Apartments (Full Time) Location: Woonsocket, RI Community Care Alliance is located only 15 miles from Providence, RI. We are looking for compassionate individuals who want to make ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Feb 18, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Lead Product Manager - Ancillary Products in Newport ... Island Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..

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