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Description The Senior Value-Based Programs Analyst 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 Analyst works on problems ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
... two key metrics: Efficiency of Care (cost) & Effectiveness of Care (quality). Responsibilities Humana is seeking ... including 7 paid holidays, one personal holiday, one day of volunteer .....
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
... experience and vitality of the associate community. Through offerings anchored in ... in the newly-created role of Associate Vice President, Digital Experience - ... medication list, and manage health..
Job Information Humana Quality Improvement Coordinator in Winchester Virginia Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
... Our Fortune 100 Company values associate engagement & your well-being. We ... clinical setting where patients receive care (e.g., pharmacy retail locations, clinics, ... pharmacy retail locations, clinics, home..
Description The Care Management Support Assistant 2 contributes ... 2 contributes to administration of Care Management. Provides non-clinical support to ... with resources appropriate for the care and wellbeing of..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
... including 7 paid holidays, 2 personal holidays, one day of volunteer ... years of experience with health care and/or health care payment policies Financial and business ... requirements include..