THE LARGEST COLLECTION OF JOBS ON EARTH
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
... administration of care management. Provides non-clinical support to the assessment and ... increase access to services; conduct non-clinical outreach to assist families with ... questions. Identifying available local resources..
... substantial. Responsibilities Location: work at home anywhere The Clinical Trend and Analytics team leverages ... learning to predict financial and clinical outcomes in order to guide ... Scientist, you..
... The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... you love auditing and investigating clinical/coding information, researching medical materials and ... opportunity. Performs in a production..
... with questions and mentoring of clinical staff Reviews and resolves escalated ... implementation of process improvement initiatives based on data analysis and identified ... reviews for requested services using..
... an opportunity to join the Clinical Trend & Analytics team within ... across Humana to design interventions based on behavioral economic theory to ... strategies to engage members into..
... a comprehensive analytic review of clinical documentation to determine if an ... at the comfort of your home due to previous experience/breadth and ... work remote out of your..
... improve cost and evaluate value based arrangements. KEY ACCOUNTABILITIES Elevate Health ... equivalent experience Johns Hopkins Adjusted Clinical Group software certification Demonstrated expertise ... coordination procedures Knowledge of community..
... care management. The CMSS provides non-clinical support to the assessment and ... assignments. CMSS's work collaboratively with clinical support associates, (including nurses and ... include weekend hours. In this..
... bridge the gap and integrate clinical and self-management aspects of diabetes ... active decision makers with their clinical treatment team. In this role, ... improvement process and adapts practice/process..
... operations - to embrace modern cloud-based technologies and engineering, agile ways ... basis to attend in-person meetings based on business need. Responsibilities: As ... customer and user feedback and..
... local market Provider Engagement, MRA, Clinical, & Contracting leadership to provide ... financial opportunities for our Medicare Value-Based Providers. This role will have ... tables, charts/graphs, etc.) Ability to..
Description The Director, Clinical Pharmacy Drug Evaluation and Policy ... Strategies oversees drug class reviews/evaluation, clinical policy strategy development, research, P&T committee oversight, and accreditation. ... and providers. Responsibilities The..
... uses advanced data analytic techniques, clinical acumen and operational insights to ... insights. Responsibilities Location: work at home anywhere Humana's Clinical Analytics and Trend (CAT) team ... needs your..
Job Information Humana Value-Based Strategies - CMS Programs Strategy ... in Charleston West Virginia Description Value-Based Strategies - CMS Programs Strategy ... combination of big-picture vision, deep value-based care experience..
... Manage and execute the company's value-based reimbursement thought-leadership and public relations ... engagement efforts. Engage in market research or other related activity to ... leaders and others such that..
Description The Value-Based Programs Strategy Lead supports the ... supports the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice ... to functional team(s) related to value-based..
... health (BH)/Substance Use Disorder (SUD) clinical quality performance measures to achieve ... Professional is responsible for improving clinical quality improvement and performance improvement ... documentation) Develops collateral documentation needed..
... May create specifications for reports based on business requests. Begins to ... and effective working relationships with Home Ops leadership and other departments ... metrics to support and improve..
Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..
Description The RN Clinical team is looking for a ... will be someone who applies clinical and coding experience in their ... that match the query. Applies clinical and coding..
... UM Administration Coordinator 2 provides non-clinical support for the policies and ... status Document calls and attach clinical information received Request clinical information from providers/facilities Create and ... this..
... closely with our local market Clinical, Provider Engagement, MRA (Medicare Risk ... who work outside of their home to submit proof of vaccination, ... in the field. Work at..
