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Description The Senior Risk Management Professional identifies and analyzes potential sources ... sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex ... variable..
Description The Supervisor, Care Management Support contributes to administration of ... contributes to administration of care management. Provides non-clinical support to the ... of members. The Supervisor, Care Management Support..
Description The Senior Process Improvement Professional analyzes, and measures the effectiveness ... improvements. The Senior Process Improvement Professional work assignments involve moderately complex ... teams from the HCS Transformation Management..
... accounts. The Large Group Underwriter 2 work assignments are varied and ... Review customer data and assess risk, providing accurate case documentation and ... and sound decisions Evaluate financial..
... will be responsible for the management and manipulation of quality data ... analysis results / recommendations to management in a timely, consistent, and ... the Senior Data and Reporting..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting Professional work assignments involve moderately complex ... Assignment: Humana Behavioral Health Location: WAH..
... will take ownership of Medicare risk adjustment programs that fit best ... clinical best practices in the risk adjustment methodology, understanding clinical suspects ... advanced understanding of the HCC..
... according to CMS and ICD-10 risk adjustment coding guidelines. In this ... also taking ownership of Medicare risk adjustment programs that fit best ... clinical best practices in the..