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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..
... SCOPE: Manages the provision of quality patient care in an independent ... in accordance with all legal, compliance, and regulatory requirements and programs. ... costs, operational methods, growth, and..
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..
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Michigan!!rnrnFull-Time ... proper documentation relevant to Medicare Risk Adjustment reimbursement payment system.rnREPORTS TO: ... fellow clinicians and internal staff.rnAdvises manager..
... Summary:The Rehab Director / Program Manager position provides the leadership, management ... Monitors and assists with personnel compliance standards including required credentials, corrective ... to work in environments with..
... economically only if we deliver high-quality patient outcomes and satisfaction. As ... our clinical teams can spend quality-time caring for a smaller number ... our communities. The Nurse Care..
Job Information Humana Bilingual Quality Auditor in Troy Michigan Description ... Troy Michigan Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
... (80) Operations (255) Physicians/Surgeons (1359) Quality/Risk Management (18) Type Contract (1) ... the direction of RN Case Manager and/or Social Worker. The individual�s ... are provided by alerting Case..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... national planning and operations for..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... in Troy Michigan Description The Risk Management Professional 2 identifies and .....
... 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 ..
Director of Compliance/HIPAA Privacy OfficernU.S. Medical Management (USMM) ... desire the experience of delivering quality & compassionate healthcare within proven ... ReimbursementnnPOSITION DESCRIPTIONnPOSITION DESCRIPTIONnThe Director u2013 Compliance/HIPAA Privacy Officer is..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars and..
Job DescriptionQualifying candidates may be eligible for up to a $5,000 sign on bonus.Help us elevate our patient care to a whole new level! Join our Aetna team as an industry ..