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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..
... designed to increase the plan quality. Partners with leaders regarding implementation ... supporting the Stars operational and compliance team with clinical input and ... providers groups results of Humana..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Portland Maine Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars 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..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... in Portland Maine Description The Risk Management Professional 2 identifies and .....
Job Information Humana Bilingual Quality Auditor in Portland Maine Description ... Portland Maine 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 ... Portland Maine Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... national planning and operations for..
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 ..
