Healthcare Quality Compliance Jobs in Cincinnati

... 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 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 Responsibilities The Compliance Professional 2 has responsibilities for ... on medical record documentation for quality and clinical compliance with contract requirements as outlined ... CPT Codes. KEY ACCOUNTABILITIES 95%..

... Information Humana Senior Insurance Product Compliance Professional in Cincinnati Ohio Description ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..

Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..

... Licensed Behavioral Health Professional - Quality Audit in Cincinnati Ohio Description ... seeking a Licensed Behavioral Health Quality Audit Professional. This position ensures ... is completed. Conducts and summarizes..

Job Information Humana Quality Improvement Coordinator in Cincinnati Ohio ... in Cincinnati Ohio Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..

... philosophy. Adheres to the Organization’s Compliance Program, including following all regulatory ... Responsible for the operation and quality control of the radiological equipment ... for the radiology procedures in..

Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..

Job Information Humana Bilingual Quality Auditor in Cincinnati Ohio Description ... Cincinnati Ohio Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..

... region, division, and company. Implements quality goals and action plans to ... and action plans to achieve quality standards. Collaborates with operations leaders, ... leadership and patient education and..

... all medication needs and regulatory compliance standards are met for our ... • May have responsibility for compliance functions. • Assist with workflow ... all medication needs and regulatory..

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 Compliance Nurse Professional 2 - Louisville, ... in Cincinnati Ohio Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to analyze data ... collaboratively..

... 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..

Description The Associate Director, Quality Improvement implements quality improvement programs for all lines ... annual evaluation. The Associate Director, Quality Improvement requires a solid understanding ... department(s). Responsibilities The Associate..

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..

... procedures to ensure provision of quality patient care on a daily ... all company, state and federal compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES: Responsible ... for supporting and driving FMCNA..

Description The Director, Quality Improvement implements quality improvement programs for all lines ... and annual evaluation. The Director, Quality Improvement requires an in-depth understanding ... across departments. Responsibilities The Director,..

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..

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 Senior Quality Compliance Nurse Professional is an integral ... integral part of the Ohio Quality Improvement Department. This role will ... sensitive projects. Responsibilities The Senior Quality Compliance..

Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky ... line of business. This includes quality compliance and quality improvement activities such as the ... activities such..