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... data, provider directories, and/or contract management The Network Operations Coordinator (NOC) ... a variety of other network management projects. The NOC works within ... within several complex provider data..
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Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting Professional work assignments involve moderately complex ... Responsibilities The Senior Provider Contracting Professional..
... 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..
... Humana Responsibilities The Director, Clinical Management Strategy and Implementation, must be ... a primary focus on care management into an ongoing strategic design ... ensure organizational goals for care..
... 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..
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..
