- Methodist Health System (Southlake, TX)
- …Provides leadership and oversight to ensure maximum compliance with regulatory agencies, MHS accounting standards, controls, organizational goals, policies, ... we've earned: + 150 Top Places to Work in Healthcare by _Becker's Hospital Review_ , 2023 + Top...the Year, 2024 Equal Opportunity Employer It is the policy of Methodist Health System (MHS) to select, develop,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …new medical policies, in conjunction with Medical Services team and Medical Policy Department, based on changes in healthcare . + Consistently demonstrates ... and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various lines of business. The… more
- Banner Health (Casper, WY)
- …better flexibility, better experiences - better nursing. Banner Health was recognized on Becker's Healthcare 2024 list of 150+ top places to work in healthcare . ... Completes assessment and reassessments according to patient need and as outlined in policy . 2. Formulates a plan of care, including the discharge plan, utilizing… more
- Banner Health (Phoenix, AZ)
- …you will have the opportunity to make patient's lives better by making healthcare easier. Our team focuses on filling prescriptions for hospital discharge patients ... interview process. Banner Pharmacy Services is a recognized leader in healthcare and trusted partner in proactively providing innovative pharmacy services through… more
- Highmark Health (Pittsburgh, PA)
- …and methods. This individual will apply clinical practice knowledge in evidenced-based policy and practice to ensure consistency of care delivery, throughout the ... the network including the acute care and ambulatory footprint. Standardize policy , practice through evidence-based decisions. + Provide vision, establish a nursing… more
- Pentax Medical (Atlanta, GA)
- …Our mission is to improve the standard of patient care and quality of healthcare delivery by providing the best endoscopic products and services with a focus on ... is proud of its comprehensive benefits program and generous Paid Time Off and Holiday policy . Want More INFO? The Director , Global Compliance will be a member of… more
- Humana (Denver, CO)
- …of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national ... provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS and… more
- Humana (Louisville, KY)
- …mapping . Partner with Operations to optimize and bundle strategic, regulatory , and vendor communications ensuring compliance and enhancing member experience . ... marketing operations, offer optimization, commercial strategy, or product management within healthcare or similarly regulated industries. . 5+ years of strong… more
- Humana (San Juan, PR)
- …of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national ... medical interpretation and determinations whether services provided by other healthcare professionals are concordant with national guidelines, CMS requirements,… more
- Humana (Nashville, TN)
- …+ Excellent communication and problem-solving abilities + Solid understanding of regulatory and compliance requirements relevant to healthcare product delivery. ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more