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Description The Home Compliance & Risk Management Lead contributes to the success of ... Humana's business strategy by supporting risk and compliance initiatives across Home Solutions teams within the Healthcare..
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... works within a framework of compliance expectations leading to significant variabilities ... responsible for the member's safety and advocacy outcome as part of ... facilitate access to the member..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal ... issues using data from internal and external sources to provide insight ... to decision-makers...
... Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... on problems of diverse scope and complexity ranging from..
... purpose is to provide care management program support resources to physicians, ... resources to physicians, physician groups, and integrated healthcare delivery systems throughout ... caring for family, friends, finances,..
... Scientist to join our research and analysis team. This position will ... with respect to human factors and human behavior. This Data Scientist ... matter expert for human factors..
... organization, every employee should understand and share in the YNHHS Vision, ... YNHHS Vision, support our Mission, and live our Values. These values ... - integrity, patient-centered, respect, accountability,..
... Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Bridgeport Connecticut Description ... is seeking an AVP to lead its Provider Support team and associate's..
Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Bridgeport Connecticut Description ... Bridgeport Connecticut Description The Senior Risk Management Professional a critical member within..
... (RN/LPN) role focuses on clinical and performance interventions with providers. Decisions ... typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. .....
Job ID 21000JSKAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... philosophy. Adheres to the FMCNA Compliance..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... contribute to Humana's national planning and operations for Risk Adjustment, Stars, and Interoperability. Specifically, this role will..
... Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... communicates contract terms, payment structures, and reimbursement rates to..
... authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests ... technical approach for project components, and work is performed without direction...
Description The Behavioral Health Parity Compliance Lead will play an integral role ... integral role in the oversight and management of our Mental Health Parity ... of our Mental Health..
