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Description The Senior Health Information Management Professional ensures data integrity for ... errors. The Senior Health Information Management Professional work assignments involve moderately ... Responsibilities The Senior Health Information Management..
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... of business. This includes quality compliance and quality improvement activities such as ... Improvement program description, work plan, and annual evaluation, as well as ... as well as oversees,..
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...
... 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,..
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..
Job Information Humana Quality Compliance Behavioral Health Professional 2 - ... Louisville Kentucky Description The Quality Compliance Professional - Behavioral Health uses ... improvement methodology to analyze data and works..
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..
... factors. Responsibilities Location: work at home anywhere The Senior Clinical Delegation ... Vendor Oversight builds relationships with and provides clinical and operational oversight for third party ... technical approach..
... Director for Healthcare Quality Reporting and Improvement (HQRI) relies on medical ... (HQRI) relies on medical background and industry-standard clinical / coding guidance ... medical record diagnosis coding accuracy..
... Associate Director, Database Administration manages and maintains all production and non-production databases. Responsible for standards ... non-production databases. Responsible for standards and design of physical data storage, ... physical..
... 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..
Description The Quality Compliance Nurse (RN) Professional uses quality ... improvement methodology to analyze data and works collaboratively with teams to ... for well-being Responsibilities The Quality Compliance Nurse (RN)..
Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Louisville Kentucky Description ... Louisville Kentucky Description The Senior Risk Management Professional a critical member within..
... Coder work assignments are varied and frequently require interpretation and independent determination of the appropriate ... The Medical Coder assumes ownership and leads advanced and highly specialized administrative &..
... Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Louisville Kentucky Description ... is seeking an AVP to lead its Provider Support team and associate's..
... 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..
... of Care Team Nursing assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by ... state by guiding members/families toward and facilitate interaction with..
... 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 Senior Compliance and Quality Professional contributes to the ... business strategy by supporting quality and compliance initiatives across Service Operations teams ... business process flows, Medicare regulations, and..
... 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..
