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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 Quality Assurance, Clinical Professional 2 consults ... to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work ... courses of action. Responsibilities The..
Description The Senior Quality Assurance, Clinical Professional requires being ... to ensure high accountability of compliance and quality and will work assignments involving ... Categories) coding documentation guidelines and compliance..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional..
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..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are ... courses of action. Responsibilities The Quality Compliance Professional 2..
... is currently seeking an experienced Healthcare Consultant to join our team. ... and 3rd party vendors HIPAA compliance and ongoing maintenance Administration Assessment ... Preferred Credentials and Experience A..
Job Information Humana Quality Improvement Coordinator in Mobile Alabama ... in Mobile Alabama Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... fraud, waste, and abuse. The Compliance Nurse work assignments are varied ... schedule and overtime. Responsibilities The..
... Information Humana Senior Insurance Product Compliance Professional in Birmingham Alabama Description ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..
Description The Manager, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... and goals. Responsibilities The Manager, Compliance Nursing ensures..
Inpatient Hospital Coding Compliance Auditor The Inpatient Hospital Coding ... Auditor The Inpatient Hospital Coding Compliance Auditor will provide expert auditing ... audits. Primary Responsibilities: Perform coding compliance and quality..
Details Department: Total Quality Management Schedule: Monday-Friday, 8:00am-5:00pm. 4 ... specifics. Responsibilities Organize and coordinate quality, risk and patient safety program ... program activities and workflow. Coordinate quality, risk and/or..
Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
Job Information Humana Quality Improvement Coordinator in Huntsville Alabama ... in Huntsville Alabama Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
Job Information Humana Quality Improvement Coordinator in Birmingham Alabama ... in Birmingham Alabama Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
... Information Humana Medicaid Associate Director, Compliance Nursing in Birmingham Alabama Description ... Alabama Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional ... to ensure high accountability of compliance and quality and claims are being reviewed ... implements programs to establish high..
