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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..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... Newport Rhode Island Description The Risk Management Professional 2 identifies 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..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... national planning and operations for..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars and..
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 ..
Job Information Humana Bilingual Quality Auditor in Newport Rhode Island ... Rhode Island Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
