- Otsuka America Pharmaceutical Inc. (Jackson, MS)
- …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
- Otsuka America Pharmaceutical Inc. (Jackson, MS)
- The Associate Director , Channel Analytics will be a key member of the Business Analysis team, responsible for leading marketing mix and channel analytics to ... of promotional investments across various channels (HCP, DTC, digital, non-personal promotion , etc.). + Develop and refine multi-touch attribution models and other… more
- CenterWell (Jackson, MS)
- …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 (Jackson, MS)
- …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 (Jackson, MS)
- …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 (Jackson, MS)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Humana (Jackson, MS)
- …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
- CenterWell (Jackson, MS)
- …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 (Jackson, MS)
- …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 (Jackson, MS)
- …experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for ... and/or other end compliant inquiries. + Has 6-7 direct reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and… more
- Humana (Jackson, MS)
- …us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and ... Operations, this role will be pivotal in ensuring operational efficiency, effectiveness, compliance , and the achievement of key business objectives. The Director … more
- Humana (Jackson, MS)
- …of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning ... support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization… more
- CenterWell (Jackson, MS)
- …a part of our caring community and help us put health first** The Director , Account Management is responsible for growing membership within existing accounts and for ... directly managing business relationships with client accounts. The Director , Account Management requires an in-depth understanding of how organization capabilities… more
- CenterWell (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the leader of Forecasting and would ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Adams and Associates (Crystal Springs, MS)
- …sensitive information and compliance with all HIPAA laws. Minimum of an Associate of Arts degree in nursing. Active, unrestricted license to practice in state ... capacity required. Regional approval required. May serve as Health & Wellness Director (if allowed under local state practice law). Assists in the supervision… more
- Community Health Systems (Flowood, MS)
- …oversees the medical imaging department, ensuring high-quality imaging services, compliance with healthcare regulations, and the implementation of best practices. ... to enhance patient care and operational efficiency. **Essential Functions** + Assists Director , Imaging with daily operations of all Imaging areas as needed. +… more
- Community Health Systems (Jackson, MS)
- …department. Capable of assuming g responsibility for department in absence of Director . + Monitors the status of equipment repairs and preventative maintenance, ... down time and documents its effect on patient care. + Ensures compliance with department and institutional policies, procedures and regulations. + Provides practical… more
- CenterWell (Hazlehurst, MS)
- …and contributes to department in-services. + Notify physical therapist or Executive Director of any equipment failures, lack of supplies, staff or client changes, ... with education and competence to care for patients. + Promote compliance with all fiscal intermediaries and/or other third-party payors, through education,… more
- Community Health Systems (Flowood, MS)
- …and support continuity of care, appropriate quality metrics, and regulatory compliance . **Essential Functions** + Analyzes inpatient clinical records to identify ... + Monitors regulatory changes in coding, documentation, and quality metrics, ensuring compliance with updated standards and sharing information with staff as needed.… more
- Community Health Systems (Flowood, MS)
- …and documents chain-of-custody urine drug screens as required. + Ensures compliance with laboratory safety standards by wearing appropriate Personal Protective ... complete departmental tasks. + Maintains accurate records and statistical data in compliance with regulatory and departmental standards. + Performs other duties as… more