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... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Decisions are typically ... and processes necessary to maintain..
Job Information Humana Senior Market Data Professional - Remote in Beckley West Virginia Description The Senior Market Data Professional provides support to assigned health plan and/or specialty companies relative to Medicare, ..
Job Information Humana Sr. DevOps Cloud Engineer in Beckley West Virginia Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps ..
... and value, while also managing compliance with network requirements, including network ... Department of Health of Medicaid Managed Care Contract. The Lead will support ... proactively identify network issues,..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
... coordinates and oversees all direct care patient services provided by clinical ... operations for a specific location managed. Conducts/delegates the assessment and reassessment ... of patients, including updating of..
Job Information Humana Associate Director, Provider Data Interoperability in Beckley West Virginia Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..
Job Information Humana Quality Improvement Coordinator in Beckley West Virginia Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. ..
... Facility Administrator with Fresenius Medical Care, you will manage and oversee ... the provision of quality patient care in the dialysis clinic. Training ... important asset — we value,..
Description The Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager work assignments are varied ..
Job Information Humana Storage Administrator- Storage and Backup in Beckley West Virginia Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same ..
... across members, providers, agents, clinical, care management, pharmacy, and other units. ... new benefits launch, provider find care, provider management self-service, and provider ... management. Innovate on clinical and..
Job Information Humana Director, Care Delivery and EMR/EHR Technology in ... IT business initiatives specific to care delivery technology and the core ... capabilities interrelate across Humana's Primary Care segment,..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Job Information Kindred at Home Care Manager RN Home Health, Full ... As a Home Health RN Care Manager , you will: Perform ... practice. Routinely complete Start of Care/Resumption..
... Medicaid Innovation) Multi-Payor and Accountable Care Initiatives. Responsibilities Immediately leverages a ... of big-picture vision, deep value-based care experience and a 'seeking to ... such as clinical, legal, and..
... plan related to claims Ensure compliance with South Carolina's Managed Care Contractual requirements for provider relations, ... working with or in health care administration setting Exceptional relationship management .....
