Executive Director, Regulatory Compliance The candidate will ensure that the health system, including the hospitals, are in compliance with regulations including: Stark Law, Place of Service, Anti-Kickback, FCA, AHCA-NCAL Quality Initiative, ..

Director, Compliance and Privacy for Health Affairs The candidate ensures that the University establishes and maintains an effective best practices compliance and integrity program, prevents and detects violations of law and ..

Paralegal - Medical Compliance Regulatory Candidate will part ... the direction of the Associate Director and/or the Executive Director of Regulatory Compliance, responsible for ... Supports the Associate and Executive..

... be included in the patient medical records and support the provider ... Job Title: Your Home Advantage Medical Director Location: Louisville, KY or Work ... Certified in an approved..

Description The Director, Health Services utilizes clinical nursing ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... and/or benefit administration determinations. The Director, Health Services requires..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities Job..

Description The Florida Medicaid Market CFO, Associate VP of ... oversight and management. The Florida Medicaid market includes MMA & LTSS ... financial leadership in the state Medicaid Market, developing..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..

Director,Compliance & Privacy for Health Affairs The candidate duties include: Serves as the Health Care Compliance Champion. Reports on compliance matters to the Chief Compliance and Privacy Officer. Assists the Chief ..

Director, Medical Compliance The candidate will support the Chief Privacy and Data Integrity Officer, especially in the areas of online privacy, data security, compliance training, and investigations. Must have JD Degree. ..

Description As Humana's Medicaid membership continues to grow, the ... continues to grow, the National Medicaid Clinical Operations team is expanding ... clinical delivery process. The National Medicaid Director of..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..

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 Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... benefit administration determinations. The Associate Director, Utilization Management..

Description The Director of Health Services for National ... of Health Services for National Medicaid Clinical Operations utilizes clinical skills ... coordination, documentation and communication of medical services and/or benefit..

Compliance Director The candidate will ensure all centers are prepared for initial licensing visits, pre-certification consult visits, announced and unannounced review and monitoring visits; Partner with Regional teams to assess violations ..

Job Information Humana Associate Director Utilization Management in Tampa Florida ... are looking for an Associate Director, Utilization Management to utilize clinical ... coordination, documentation and communication of medical services..

Medical Compliance Specialist 2, Regulatory The candidate will conduct detailed research and reviews of policies and procedures in support of the organization Regulatory Compliance program, which are assigned and prioritized by ..

... in South Carolina Responsibilities The Director, Financial Planning & Analysis collects, ... financial leadership in the state Medicaid Market, developing a deep understanding ... a deep understanding of Humana's..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..

Director,Compliance and Privacy for Health Affairs The candidate provides compliance support to various health disciplines across FIU including the Health Care Network (HCN), Herbert Wertheim College of Medicine, the Nicole Wertheim ..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities Job..

Counsel, Associate Director The candidate will be a partner with various teams to provide strategic and legal guidance on a range of regulatory matters, including state and federal Exchange requirements, HIPAA/state ..