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... Institutional Setting The Institutional Tumor Specialist builds and maintains strong professional ... care continuum. The Institutional Tumor Specialist is a business leader who ... providing approved, disease and product..
... to mitigate cost while improving health outcomes. He/she requires an in-depth ... to mitigate cost while improving health outcomes. He/she requires an in-depth ... trend while improving our member's..
Description The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..
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 ..
... on medical background and reviews health claims. The Medical Director work ... phone to gather additional clinical information or discuss determinations regularly, and ... relationships, value based care, population..
... profitability while improving our member's health and costs. This role functions ... trend while improving our member's health and costs. Developing concrete trend ... trend mitigation opportunities from abstract..
... Directing a team of Physical Health and Behavioral Health clinical leaders in fully developing ... for our industry-leading integrated Physical Health and Behavioral Health clinical model, including leading ongoing..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team working remote/from home anywhere in the U.S. Responsibilities As a Board Certified ..
... profitability while improving our member's health and costs. This role functions ... of insights from the gathered information. Responsibilities Responsibilities include the following: ... Role Desirables Board Certified Pharmacotherapy..
