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Description The Physician serves as a health-care professional and capable of handling a variety of health-related problems. The Physician work assignments involve moderately complex to complex issues where the analysis of ..
Job ID 21000LJWAvailable Openings 1 PURPOSE AND SCOPE: Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides direct ..
Job Information Humana RN Senior STARS Improvement Professional - South Florida, Treasure Coast and Brevard County area in Palm Coast Florida Description The Senior STARS Improvement Professional develops, implements, and manages ..
... the analysis of situations or data requires an in-depth evaluation of ... Florida market (contracts and gathering data for reports) Required Qualifications Bachelor's ... Work Experience (5 years of..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
... The right candidate will make data-driven decisions, be an effective communicator, ... will evaluate new opportunities using data driven methodology to help prioritize ... of market findings rooted in..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Job Information Humana Senior Provider Contracting Professional in Saint Augustine Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Saint Augustine Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
... Information Humana Senior Corporate Strategy Analyst in Saint Augustine Florida Description ... Responsibilities The Senior Corporate Strategy Analyst role is modeled after top-tier ... the analysis of situations or..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... Humana is seeking a Senior..
... the analysis of situations or data requires an in-depth evaluation of ... senior leaders with the right data to make informed strategic decisions ... by assessing qualitative and quantitative..
Description The Healthcare Financial Analyst collects, analyzes, and reports on ... and reports on various market data, connecting operational effectiveness and member ... Central Region is seeking a Healthcare Financial..
... leverages its advanced knowledge of data, modeling, optimization, and tools. Applies ... problems. Understands and analyzes complex data, articulates to various units within ... Bachelor's degree 2-5 years of..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... leverages their advanced knowledge of..
