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Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
... career development. Superior training, UltraCare® quality control, and certification procedures ensure ... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... the FMCNA commitment to the..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description The Manager, Risk Adjustment oversees coding educators and ... Adjustment oversees coding educators and quality assurance audits of medical records ... and Medicaid Services (CMS). The Manager, Risk Adjustment..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars and..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... in Dover Delaware Description The Risk Management Professional 2 identifies and .....
... Member_** At Sunrise, our Care Manager is responsible for providing the ... providing the highest degree of quality care and services to a ... to ensure community is in..
Job Information Humana Bilingual Quality Auditor in Dover Delaware Description ... Dover Delaware Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... national planning and operations for..
