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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..
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... 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,..
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..
Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Ridgeland Mississippi Description ... Ridgeland Mississippi Description The Senior Risk Management Professional a critical member within..
U.S. Medical Management (USMM) is an affiliate of ... with premier healthcare providers, clinicians and patient focused individuals working together. ... Compassionate Patient-Centered Care in the Home; We will Provide..
PURPOSE 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 Program, including following all..
... 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..
... flexibility to telecommute* (work from home) as you take on some ... a culture of performance, collaboration and opportunity and this is what you get. ... health care data..
... 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..
... ID 21000MOIAvailable Openings 1 PURPOSE AND SCOPE: Manages the provision of ... patient care in an independent home therapy program while maintaining cost-effective ... in accordance with all legal,..
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..
... Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Ridgeland Mississippi Description ... is seeking an AVP to lead its Provider Support team and associate's..
