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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..
Description The Associate Director, Quality Improvement implements quality improvement programs for all lines ... annual evaluation. The Associate Director, Quality Improvement requires a solid understanding ... department(s). Responsibilities The Associate..
Description The Director, Quality Improvement implements quality improvement programs for all lines ... and annual evaluation. The Director, Quality Improvement requires an in-depth understanding ... across departments. Responsibilities The Director,..
... 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,..
... region, division, and company. Implements quality goals and action plans to ... and action plans to achieve quality standards. Collaborates with operations leaders, ... leadership and patient education 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..
... is seeking a Director of Quality and Risk Management to join our team! ... Position Summary Responsible for directing quality management efforts to ensure continuous ... excellence, adherence with..
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Columbus, ... proper documentation relevant to Medicare Risk Adjustment reimbursement payment system.rnREPORTS TO: ... clinicians and internal staff.rn Advises manager..
... Inform residents of any potential risk during any procedures.10. Work with ... clinical competency.16. Participate in the quality improvement process.17. Promote the programs ... with the community.18. Act in..
Job Information Humana Bilingual Quality Auditor in Cincinnati Ohio Description ... Cincinnati Ohio Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Cincinnati Ohio Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars and..
... in an assigned area ensuring compliance with established company and regulatory ... in order to provide high quality dialysis services and outstanding patient ... growth of area while ensuring..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Cincinnati Ohio 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 Cincinnati Ohio Description The Risk Management Professional 2 identifies 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 ..
