Healthcare Regulatory Compliance Jobs in Albuquerque

Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..

Description The Senior Compliance Professional will help to reach ... Professional will help to reach compliance program objectives by ensuring compliance with governmental regulations and laws, ... business areas. Responsibilities..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Job ID 21000LARAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

... and other members of the healthcare team to interpret, adjust, and ... delivery of patient care in compliance with standards outlined in the ... philosophy. Adheres to the FMCNA..

... safety goals, policies and procedures, regulatory and legal compliance, therapeutic standards, measuring of health ... makes or recommends necessary adjustments. Compliance in RN Case Manager standard ... Accountability Maintain..

... 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 Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..

... Information Humana Medicaid Associate Director, Compliance Nursing in Albuquerque New Mexico ... Mexico Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

... Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..

Job ID 21000HHAAvailable Openings 1Position Specific Information Full Time 40 hours per week, supporting up to two clinics.DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer ..

... procedures, and training and in compliance with regulations set forth by ... through education regarding all ESRD regulatory and legal requirements and the ... systems incorporated into training, including..

... procedures, and training and in compliance with regulations set forth by ... through education regarding all ESRD regulatory and legal requirements and the ... systems incorporated into training, including..

... Information Humana Actuary, Risk and Compliance in Albuquerque New Mexico Description ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..

Master Social Worker - PRN Department: Case Management Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Social Worker Case Manager provides complex care coordination services to patients and ..

Job ID 21000FKWAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..

Description The Compliance Nurse 2 reviews medical management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

Job ID 21000KZ7Available Openings 1PURPOSE AND SCOPE: Supports the training and education of employees based in company facilities and programs within an assigned geographical area. Delivers standardized, competency based, training and ..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..

... the nations' leading provider of healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion!We Care Deeply ... and records maintenance to ensure..

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..

... Information Humana Senior Insurance Product Compliance Professional in Albuquerque New Mexico ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..

Bariatric Program RN Coordinator Department: Medical Specialty Clinic Location: Rio Rancho, NM START YOUR APPLICATION Job Summary The Bariatric Program Nurse Coordinator provides clinical and operational support to the surgeons and ..