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Description The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Understands alternate payment structures and quality incentives for ..
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Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Job Information Humana Clinical Provider Quality Improvement Field RN ... Description The Senior Stars Improvement, Clinical Professional responsible for the development, ... Program. The Senior Stars Improvement, Clinical Professional work..