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... in alignment with organizational quality and population health goals and ensuring compliance with all contract, ... compliance with all contract, state, and federal requirements. They will support ... They..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... ensure that medical record documentation and diagnosis coding for services rendered ... services rendered is complete, compliant..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also..
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... value to the Health Plan, and its beneficiaries enrolled in Risk ... Risk Adjusted government programs (MA and ACA), using skills including but ... to: HCC Coding, medical coding,..
... have exciting employment opportunities for remote HIM Coding Specialists on our ... Specialist will handle medical coding and data entry / abstraction for various ... (Inpatient, Outpatient, Ambulatory, Surgery,..
Job Information Humana Fraud and Waste Investigator - Work At ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on solving problems and thinking..
... interactive team with broad exposure and scope within Humana. Humana is ... Humana is seeking a positive and proactive individual to contribute to ... performing team that drives innovation..
Description The Data and Reporting Professional II generates ad hoc reports ... II generates ad hoc reports and regular datasets or report information ... for end-users using system tools and..
Description The Clinical Pharmacy Lead for Pharmacy trend ... interactive team with broad exposure and scope within Humana. Humana is ... Humana is seeking a positive and proactive individual to..
... Humana RN, Senior Stars Improvement, Clinical Professional in Tulsa Oklahoma Description Humana ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible for ... responsible for the..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Tulsa Oklahoma ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on..
... health care company with deep and multi-faceted physician and provider relationships, the Office of ... domains: (1) seeking/gathering physician/clinician perspectives, (2) collaborating with business leaders to ... physician/clinician voice..
