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... diversity, integrity, collaboration and personal development. Through a culture of inclusion, ... for validation and support of healthcare providers (oncologists/hematologists/APP/Pharmacists) on our promotional ... Actively assess the medical and..
Description Humana is seeking a Genetic Counselor to assist in the detecting and investigation of potential fraud and provide clinical guidance to the Special Investigators handling the cases. This is an ..
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... improvements (LSS), PMO, training & development, and we are looking for ... with large system migrations in healthcare, and if you have experience ... Software implementation experience in the..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
... 5 yrs large-scale Cloud software development or engineering with recent experience ... Azure Experience with Agile software development methodologies and DevOps practices such ... an Agile product operating model..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
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 ..
... Our expanding organization wants compassionate healthcare professionals like you to help ... Summa Health System and Vibra Healthcare, is a state of the ... We are looking for dedicated..
Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency)MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
