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... employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a ... problem resolution, personnel management and performance improvement. A critical component of ... Works to improve and reinforce..
RN CLINICAL QUALITY ASSURANCE SPECIALIST - ADULT TRAUMA PROGRAM','OTH01Q09','!*!CLINICAL QUALITY ASSURANCE SPECIALIST needed for Adult Trauma Program UNC is a Level I Adult and Pediatric Trauma Center which serves as the ..
... Operational Project Manager, a Reimbursement Analyst, two Denials Specialists and two ... using internal databases and key performance indicators. Best practices in pharmacy ... revenue cycle. - Develop a..
REGIONAL ADMINISTRATOR I - VIRTUAL CARE','OTH01Q6K','!*!Job Summary: UNC Health Virtual Care Team is seeking a highly motivated leader who will support the planning, start-up, implementation and on-going operations of Virtual Care ..
MANAGER RAPID RESPONSE SERVICES - VIRTUAL CARE','OTH01Q7B','!*!The Manager of Rapid Response Services (RSS) for UNC Health’s Virtual Hospital is a dynamic, experienced healthcare administrator/operations leader passionate about transforming the future of ..
Job Information Humana Compliance Lead - Illinois Medicaid in Charlotte North Carolina Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and ..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... Qualifications Bachelor's degree in Business, Healthcare,..
... for ensuring the investment and performance are consistent with customer needs. ... to provide Humana with product performance, reduced trend and growth. Serve ... insights Bachelor's degree in Business,..
... coaching and counseling employees, including performance reviews, disciplinary action and terminations. ... Leader responsibilities Responsible for overseeing performance of all licensed personnel, direct ... guidance, and feedback related to..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in Charlotte North Carolina Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Hispanic MA customer ..
DIRECTOR PERFORMANCE IMPROVEMENT - PERFORMANCE IMPROVEMENT/PATIENT SAFETY','OTH01PLI','!*!Responsible for overseeing and ... with government incentive programs and pay-for-performance funds at risk. Collaborates with ... for future program development and performance-based business..
... Hospital is a dynamic, experienced healthcare administrator/operations leader passionate about transforming ... about transforming the future of healthcare. Seeking a dynamic, experienced nursing ... about transforming the future of..
... and medication related Star measure performance. The Pharmacy Clinical Advisor Professional ... with metrics reporting and program performance including ROI analyses. Taking action ... with key partners and data..
RN NURSING COORDINATOR - CHILDREN'S SUPPORT SERVICES','CLI00CF2','!*!RN Coordinator needed for UNCH Children's Rheumatology & Clinical Immunology clinics. This is a 40 hours/week, STATE BENEFITED, Exempt status position located in the Children’s ..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare Advantage in Charlotte North Carolina Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Chinese ..
... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... Medicaid Quality Data and Reporting Analyst will be responsible for the ... Qualifications: Bachelor's degree in Business,..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
Job specifications are intended to present a descriptive list of the range of duties performed by employees. Specifications are not intended to reflect all duties performed within the job. SUMMARY Bering ..
HCS DIRECTOR PATIENT ACCESS - MEDICAID ELIGIBILITY','OTH01Q2C','!*!Manage Medicaid eligibility enrollment of all Medicaid programs statewide. Reviews work of eligibility review staff for quality assurance. Plans, develops, implements and monitors comprehensive Medicaid ..