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Description The Senior Stars Clinical Professional (RN) works through phone calls and other outreach methods with members, providers, and/or vendors to close HEDIS care gaps. The Senior Stars Clinical Professional work ..
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Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately ..
... looking for an experienced medical coding reviewer to handle provider disputes ... should strongly consider the Outpatient Coding Auditor (Surgical Specialty) - Outcomes ... it takes to Succeed Certified..
Description The UM Administration Coordinator 3 contributes to administration of utilization management. The UM Administration Coordinator 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate ..
Description This position establishes strategy, develops business plans, and oversees and leads in the design, development and implementation of technology solutions to meet business needs. Leaders in this role provide leadership ..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
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 UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description Humana is looking for a dynamic and energetic leader that is passionate about leading and growing our contact center SRE team. Supporting the core contact center voice technology applications and ..
Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities Job ..
Description Our Red Team Lead is responsible to lead a group a Red Team Operators through the design and execution of Red Team Campaigns and exercises. This lead will work on ..
Description The Senior Cloud Security Engineer Responsible for build, deployment and maintenance of the multi-cloud security controls; engineering the security posture and implementation to the cloud based applications and systems. The ..
Description In this role you will be on a team of DevSecOps engineers doing analysis, hunting bugs, driving DevSecOps, cultural transformation and building our internal self-service tooling, while serving as product ..
Description The CyberSecurity Operations Center Engineer 2 develops and executes security controls, defenses and countermeasures to intercept and prevent internal or external attacks or attempts to infiltrate company email, data, e-commerce ..
Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities The ..
... appropriate clinical documentation and accurate coding. This role reports to the ... methodology gained from HCC documentation, coding and provider education experience. An ... improved accuracy of documentation and..
... Senior Risk Adjustment Professional ensures coding is accurate and properly supported ... policies and guidelines while analyzing coding information and medical records. May ... in provider education programs on..
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 Software Engineer 2 codes software applications based on business requirements. The Software Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
Job Information Humana Senior Software Engineer/ HGB - Work at Home Nationwide in Colorado Springs Colorado Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software ..
Description The Associate Director, DevSecOps Engineering Enables the automation of software code deployment by eliminating functional silos existing between development and production. The Associate Director, DevOps Engineering requires a solid understanding ..
