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... variable factors that rely on clinical experience and knowledge of both ... within a context of regulatory compliance, and work is assisted by ... resources, which may include national..
... well as aligned provider and clinical partners, to improve cost of ... with Group, Network Strategy, and Clinical Analytics teams to ensure the ... cost of care opportunities (e.g...
... and value, while also managing compliance with network requirements, including network ... alignment to financial, operational and clinical goals Participate and contribute to ... proactively identify network issues, ensure..
... will work closely with the clinical education and market implementation teams ... also need to incorporate EMR, compliance, primary care policy and procedure, ... Work collaboratively with implementation teams,..
... by other healthcare professionals in compliance with approved policies, procedures, and ... Medical Director serves as a clinical resource for the LTC program ... care team rounds and provides..
... will work closely with the clinical education and market implementation teams ... also need to incorporate EMR, compliance, primary care policy and procedure, ... Subject Matter Expert (SME) on..
Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Operations Director requires an ..
Job Information Humana VP, Clinical Operations in Louisville Kentucky Description ... in Louisville Kentucky Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you ... vision of..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... team. This position reviews the clinical appropriateness of prior authorization (PA) ... reviews for requested services using clinical judgement and works with the ... works with the Chief Medical..
Admin / Clerical (13) Advanced Practice Registered Nurses / Physician Assistants (4) Allied Health (31) Clinical Research (1) Dentistry (2) Executive (56) General Nursing (65) Hospitality, Facility, Environmental Support (5) Mental ..
... and analysis, forecasting, grants, contracts, clinical practice revenue, regulatory compliance to support and sustain the ... departmental financial staff.Oversee and administer Clinical and Faculty Affairs areas.Directly and ... strategic..
... 2 Medical Directors who conduct clinical case reviews of the care ... Medical Director for the Humana Clinical Operations Behavioral Division is looking ... by other healthcare professionals in..
... on medical background and industry-standard clinical / coding guidance to ensure ... Director for HQRI leads the Clinical Support Team, composed of clinical and coding associates, and ensures .....
