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... market. Responsibilities The Clinical Documentation Specialist (CDS) follows state and federal ... medical records. The Clinical Documentation Specialist conducts medication reviews of charts ... clinical diagnoses. The Clinical Documentation..
Description The Financial Planning & Analysis Lead analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The Financial Planning & Analysis ..
Description The Specialist Programs Senior Value-Based Programs Professional supports successful value-based provider ... path-to-value goals. The Senior Value-Based Programs Professional works on problems of ... perks for well-being Responsibilities The..
Description The Value-Based Programs Strategy Lead supports the creation ... the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice and ... specialty deals. Responsibilities The Value-Based..
Description Humana Healthy Horizons is seeking a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. This position ..
... overarching vision is to create programs which meet our members where ... current clinical pharmacy lead, specialty programs, infusion - commercial. Learning from ... Learning from the experience and..
Job Information Humana FP&A Lead, Medicaid Market in Lancaster South Carolina Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..
Description The Senior Market Consultation/Partnership Professional promotes and improves the quality and measurement of care delivery programs with a market(s). The Senior Market Consultation/Partnership Professional work assignments involve moderately complex to ..
Description The Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..
Job Description Health is everything. At CVS Health we are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we're helping people on their ..
... of how modern multi-channel, personalized marketing communications and consumer engagement programs are enabled by data, analytics ... utilizing the capabilities of Humana's Marketing & Communication Platform to deliver .....
Description The Specialist Programs Value-Based Programs Professional 2 supports successful value-based ... achieving path-to-value goals. The Value-Based Programs Professional 2 work assignments are ... perks for well-being Responsibilities The Specialist..
Job Information Humana Provider Optimization Professional in Lancaster South Carolina Description The Provider Optimization Professional is responsible for day-to-day back-end relationships and serves as liaison with network contractors, provider relations, clinical/quality ..
... Health (BH) administrative and clinical programs for TRICARE beneficiaries. They will ... quality improvement, and pilot/value-based payment programs. The BH Medical Director will ... Market Operations Develop comprehensive care..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
Job Information Humana Compliance Professional 2 - Medicaid in Lancaster South Carolina Description Responsibilities Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. ..
Job Information Humana Senior Provider Engagement Professional in Lancaster South Carolina Description The Senior Provider Engagement Professional is responsible for day-to-day back-end relationships and serves as liaison with network contractors, provider ..
Description We are seeking a driven individual to support the Stars program to positively impact HEDIS performance through delivery of strategic initiatives and operational excellence. The role will support the preventive ..
Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, and ..
Description The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on problems of diverse scope and ..