Healthcare Quality Compliance Jobs in Pittsburgh

... Information Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania Description ... Pennsylvania 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 Pittsburgh Pennsylvania Description ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..

... leader. If you haven't considered Healthcare before, read on as we ... as we think you should. Healthcare Experience is NOT required. For ... year after year. As a..

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

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... procedures, and training and in compliance with regulations set forth by ... the FMCNA commitment to the..

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..

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 ..

... Humana Automated Dispensing System (ADS) Compliance Technician in Pittsburgh Pennsylvania Description ... and promoting operational and regulatory compliance in the hospice IPU ADS ... System (ADS) clients surrounding override..

Healthcare Superintendent - Pittsburgh The Healthcare Superintendent leads, directs and coordinates ... and/or Turner trade labor on healthcare projects. The Superintendent is responsible ... for ensuring safety, schedule delivery, quality..

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..

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 ..

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..

... leader. If you haven't considered Healthcare before, read on as we ... as we think you should. Healthcare Experience is NOT required. For ... year after year. As a..

... in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) relies ... guidance to ensure..

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

... and identification and resolution of quality issues. Monitors and analyzes the ... state, federal laws and regulatory compliance. Implementu00a0all care management reviews according ... ethical principles. Identifyu00a0and referu00a0members whose..

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..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... procedures, and training and in compliance with regulations set forth by ... the FMCNA commitment to the..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..

... in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician..

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