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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 ..
... 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..
... 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..
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 ..
13,738 Job Information Deloitte Public Health Specialist/Disease Surveillance in Arlington Virginia Public ... Surveillance in Arlington Virginia Public Health Specialist/Disease Surveillance Operations Transformation Are you ... Healthcare experience Master of..
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 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 ..
Job Information Humana Actuary, Risk and Compliance ... Compliance role assesses and communicates information regarding actuarial/business risks across the ... healthcare company committed to putting health and safety first for..
... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... in achieving and maintaining optimum health. We provide telephonic outreach to ... to assess and support their..
... 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..
13,738 Job Information Deloitte Public Health Specialist in Arlington Virginia Public Health Specialist/Disease Surveillance Operations Transformation Are you ... Healthcare experience Master of Public Health(MPH) or similar degree Preferred Qualifications:..
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 ..