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... objectives. Required Qualifications Experience in healthcare or in a managed care ... and motivation Prior experience with healthcare fraud investigation Experience with Microsoft ... systems management or related field..
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... Qualifications 3 plus years of healthcare fraud investigation experience 2 plus ... knowledge and experience Experience in healthcare or in a managed care ... experience in compliance or auditing..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality, affordable healthcare while keeping our provider networks ... process improvements across various functions..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... process improvements across various functions..
... The Senior Professional collaborates with healthcare professionals, pharmacists, and other business ... The Senior Professional collaborates with healthcare professionals, pharmacists, and other business ... finance and/or business-related pharmacy practice..
Description CarePlus is seeking a Nursing Educator 2 who will plan, direct, coordinate, evaluate, develop, and/or deliver training and education programs for professional nursing personnel. The Nursing Educator 2 work assignments ..
... MBA Clinical process improvement experience Lean / Six Sigma Green and/or Black Belt certification ... in the fast-paced industry of healthcare, we offer our associates careers ... impact on..
... in Medicaid membership Understanding of healthcare quality measures (i.e., HEDIS, CAHPS, ... root cause analysis) CPHQ certification Lean/Six Sigma certification Proven analytical skills Excellent ... in quality improvement Understanding..
... 3 years of experience managing Healthcare Quality programs OR 8 years ... their home. We are a healthcare company committed to putting health ... Preferred Qualifications Certified Professional in..
... Data Reporting Lead will pull healthcare data and use it to ... data for HEDIS and other healthcare quality measures. The Data and ... experience within managed care or..
... in a fast-paced insurance or healthcare setting Comprehensive knowledge of Microsoft ... their home. We are a healthcare company committed to putting health ... process improvement experience Microsoft Visio..
