Healthcare Qa Manager Jobs in Maryland

... currently recruiting for: Sr. Project Manager- PCI Compliance Title: Sr. Project ... PCI Compliance Title: Sr. Project Manager- PCI Compliance Location: Owings Mills, ... sponsor, business owner, management, program..

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..

Job Information Humana Technical Product Manager - Remote in Bethesda Maryland ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

What You Will Do: Population Health Program Manager Full Time, M-F Linthicum, MD The Population Health Program Manager will work with payer contract management (commercial, Medicare, Medicaid), value-based contracts, and managed ..

Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..

... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..

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). ..

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 ..

What You Will Do: I. General Summary Under general supervision, oversees and coordinates quality reporting and outcomes management of acute and chronic inpatient rehabilitation patients. Responsible for coordinating departmental quality improvement ..

Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..

Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Bethesda Maryland Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..

What You Will Do: Manager Addiction Service Line Full-Time Baltimore, MD Come elevate your skills and experience by working with a world class 800-bed, Magnet designated Academic Medical Center We are ..

What You Will Do: Director of Quality & Patient Safety Full Time, 8am-5pm Towson, MD We are looking for talented professionals to join our team at University of Maryland St. Joseph ..

Caregiving is our Calling At Amedisys whether we're caring for patients directly or supporting those who do, each of us is a caregiver at heart. Every team member contributes to our ..

Job Information Humana Bilingual Quality Auditor in Bethesda Maryland Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..

Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Annapolis Maryland The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..

**$7,500 Sign on Bonus for External Candidates** Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading ..

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 ..

Job Information Humana Bilingual Quality Auditor in Baltimore Maryland Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..

Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Bethesda Maryland Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..

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). ..