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... appropriate clinical documentation and accurate coding. This role reports to the ... role reports to the MRA Manager and as a member of ... methodology gained from HCC documentation,..
... Humana Sr Medicare Risk Adjustment Coding & Documentation Improvement Professional - ... Description Sr Medicare Risk Adjustment Coding & Documentation Improvement Professional Our ... providers to identify documentation and..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Colorado Springs Colorado Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security ..
Description The Manager, Compliance - Medicaid State Reporting ensures ... - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works ... perks for..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Colorado ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... auditing for quality and clinical compliance,..
State Income and Franchise - Investment Management Tax Senior Manager - Multistate Duties: The candidate will be maintaining and developing strong client relationships on various tax consulting/compliance engagements in the investment ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The..
... Interoperability, 2) serve as a coding expert to manage escalations or ... acumen, and industry-standard clinical / coding guidance to ensure physician and ... position provides supportive clinical and..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
... background and industry-standard clinical / coding guidance to ensure physician and ... position provides supportive clinical and coding expertise across the teams in ... those functions Serve as a..
Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Colorado Springs Colorado Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description Manages a team of coding educators and reports to Risk ... appropriate clinical documentation and accurate coding. As a member of the ... of the MRA team, the Manager..
Job Information Humana Associate Director, Provider Data Interoperability in Colorado Springs Colorado Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..
