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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 ... in Montpelier Vermont 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..
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 ..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Montpelier Vermont Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... national planning and operations for..
Job Information Humana Bilingual Quality Auditor in Montpelier Vermont Description ... Montpelier Vermont 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 ... Montpelier Vermont Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars and..
The Director leads the strategic direction of Health Services, provides clinical and administrative supervision of designated staff, and manages the provision of age appropriate, culturally sensitive and gender-affirming general medical care ..