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... enterprise groups to implement proper security and standards. Required Qualifications Bachelor's ... Bachelor's Degree in Computer Science, Information Technology or related field or ... and/or experience Master's Degree Additional..
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Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships ... goals. The Senior Value-Based Programs Analyst works on problems of diverse ... Responsibilities The Senior Value-Based Programs Analyst..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
... Enters and maintains pertinent clinical information in various medical management systems. ... to research and understand complex information Preferred Qualifications Bachelor's degree Utilization ... associated analysis and conclusions. Additional..
... insights Bachelor's degree in Business, Healthcare Administration or other related fields ... degree or MBA preferred Additional Information Humana is a Fortune 50 ... 50 market leader in integrated..
... behavioral health, and/or ASD; a healthcare environment; and proven care management ... behavioral health, and/or ASD; a healthcare environment; and proven care management ... receive interim approval for government..
Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
... Qualifications BCBA (Board Certified Behavior Analyst) Certification. 3 plus years of ... as a Board Certified Behavior Analyst. 3 or more years of ... see details below under Additional..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... Qualifications Bachelor's degree in Business, Healthcare,..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
... and/or Medicare experience a plus Healthcare Industry experience Additional Information Interview Format: As part of ... quickly connect and gain valuable information for you pertaining to your ... asked..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in healthcare or a related industry 3 ... in business or public health..
... report, and communicate all audit information to delegates and required internal ... experience Vendor management experience Additional Information As part of our hiring ... quickly connect and gain valuable..
... protect member PHI / HIPAA information. Must be passionate about contributing ... searches Previous CRM experience Additional Information Interview Format: As part of ... quickly connect and gain valuable..
... can complete or request additional information. Role Responsibilities Recognizes specific assessments/treatment ... civilian providers to obtain additional information that may be required to ... receive interim approval for government..
... 60 market leader in integrated healthcare with a clearly defined purpose ... while nurturing a sense of security, enabling people to live life ... us redefine the future of..
... to provide accurate and timely information for claims reserve valuation, financial ... improving consumer experiences Preferred Qualifications Healthcare Industry experience Additional Information Interview Format: As part of ... quickly..
... protect member PHI / HIPAA information. Preferred Qualifications Master's degree Recruiting ... requires a Visa Sponsorship Additional Information Interview Format: As part of ... quickly connect and gain valuable..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for final distribution all medical records ..
