- Otsuka America Pharmaceutical Inc. (Baton Rouge, LA)
- …Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. ... Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary.… more
- CenterWell (Baton Rouge, LA)
- …part of our caring community and help us put health first** The Associate Director , Clinical Strategy and Practice builds strategies for development, engagement, ... and processes for clinical community within the enterprise. The Associate Director , Clinical Strategy and Practice requires...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Baton Rouge, LA)
- …problems of diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS ... high quality metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team… more
- Humana (Baton Rouge, LA)
- …us put health first** We are seeking a strategic, collaborative, and results-driven Associate Director to lead the development and execution of leadership and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- CenterWell (Baton Rouge, LA)
- …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …preventative maintenance, oversee major repairs and construction projects, and ensure compliance with all relevant regulations. The Director will work ... Director of Physical Plant &Facilities Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4887671) Director of Physical Plant &Facilities… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Baton Rouge, LA)
- …part of our caring community and help us put health first** The Director , Consumer Experience ensures optimized interaction between Humana and its customers through ... of predictable and sustainable readiness practices, to ensure that experiences, both associate and consumer facing deliver on intended objectives. The Director ,… more
- CenterWell (Baton Rouge, LA)
- …our caring community and help us put health first** The Divisional Director is responsible for building a strong partnership with clinical-operational divisional ... and coordinating care to reduce acute and post-acute care utilization. The Divisional Director role is a hybrid with travel requirements to facilitate and liaise… more
- Humana (Baton Rouge, LA)
- …of our caring community and help us put health first** The Director , Strategy Advancement provides data-based strategic direction to identify and address business ... support for business segments or the company at large. The Director , Strategy Advancement requires an in-depth understanding of how organization capabilities… more
- Humana (Baton Rouge, LA)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Baton Rouge, LA)
- …how organization capabilities interrelate across the function or segment. The Director , Quality Improvement monitors quality investigations and compliance ... part of our caring community and help us put health first** The Director , Quality Improvement implements quality improvement programs for all lines of business… more
- Humana (Baton Rouge, LA)
- …of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical ... Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Exercises… more
- CenterWell (Baton Rouge, LA)
- …caring community and help us put health first** Humana is seeking a Director of RxEducation Operations to lead our Pharmacy telephonic member education operation. ... services (cost , quality, service, improved clinical outcomes, ease). The ** Director of RxEducation Operations** oversees the enrollment, education, engagement, and… more
- Entergy (New Orleans, LA)
- **Job Title:** Risk Management Director **Work Place Flexibility:** Onsite **Legal Entity:** Entergy Services, LLC **Job Summary/Purpose** The position is ... + Ensures risk management policies, limits, and strategies are in compliance with applicable regulations, Engineering standards, and strategic priorities of the… more
- Louisiana Department of State Civil Service (Shreveport, LA)
- …training. All complaints or inquiries related to Title IX should be directed to the Director of Title IX Compliance and Title IX Coordinator, Julie Powell (###), ... ASSISTANT/ ASSOCIATE PROFESSOR-RADIOLOGIC SCIENCES Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4903225) ASSISTANT/ ASSOCIATE … more
- Humana (Baton Rouge, LA)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… more
- CenterWell (Baton Rouge, LA)
- …of Care (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final ... audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to… more