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... coordinates with other analytics, IT and business areas across the organization ... 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ... knowledge..
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... Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... on problems of diverse scope and complexity ranging from..
... a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) ... Auditor work assignments are varied and frequently require interpretation and independent determination..
... a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) ... duties that require independent initiative and judgment. May apply intermediate mathematical .....
... Risk Adjustment oversees coding educators and quality assurance audits of medical ... assurance audits of medical records and ICD-9/10 diagnosis codes that are ... to the Centers for Medicare..
... support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer ... product implementation, operations, contract compliance, and federal contract application submissions. The ... on problems of diverse scope..
... Board Certified, have current DEA, and Washington state license/be willing to ... day, depending on the day and patient population is all ages ... patient populations. 2 years of..
... company focused on the health and well-being of the people we ... committed to advancing the employment experience and vitality of the associate community. ... focus on stimulating positive..
... focus on improving the provider experience and achieving path-to-value goals through analysis ... achieving path-to-value goals through analysis and reconciliation of provider payments and settlements. Responsibilities The Senior Value-Based..
... Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio ... 3 performs advanced administrative, operational, and Quality program and team support duties that..
... goal is to ensure transparency and help our members obtain high ... keeping our provider networks efficient and optimal. We achieve this through ... analysis, business analytics, modeling, optimization,..
... to programming in the back-end and the appearance at the front-end. ... efforts in Digital Channels (web and mobile) space for one of ... to Director of Digital Solutions..
... non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by ... state by guiding members/families toward and facilitate interaction..
... The Senior Application Architect designs and develops IT applications and architects solutions to business problems ... with the enterprise architecture direction and standards. The Senior Application Architect ... performs..
... activities moderately complex administrative/operational/member support and semi-routine assignments to support the ... RN, will utilize Humana's training and engage formerly acquired skillsets to ... formerly acquired skillsets to assess..
... Pharmacy Product & Growth organization and will be responsible for leading ... role will develop new products and enhance existing capabilities to drive ... covered lives across Medicare, Medicaid..
... goal is to ensure transparency and help our members obtain high ... keeping our provider networks efficient and optimal. We achieve this through ... solving, business analytics, modeling, optimization,..
... Healthcare Financial Analyst collects, analyzes, and reports on various market data, ... market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The ... provide support through..
... Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. ... on problems of diverse scope and complexity ranging from moderate to .....
... Board Certified, have current DEA, and Washington state license/be willing to ... day, depending on the day and patient population is all ages, ... patient populations. 2 years of..
