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Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Vermont Description The Senior Process Improvement Professional analyzes, and measures the ... process improvements. The Senior..
... and medication related Star measure performance. The Pharmacy Clinical Advisor Professional ... Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... with metrics reporting and program..
Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
... The mission of the Physician Performance Insights team is to empower ... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable..
... The mission of the Physician Performance Insights team is to empower ... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality, affordable..
Description The Physician Performance Insights team's mission is to ... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping..
Job Information Humana Corporate Strategy Consultant in Montpelier Vermont Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course for ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) ... Horizons is seeking a Quality Improvement Program Lead who will be ... Humana Healthy Horizon's National Quality Improvement (QI)..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Job Information Humana Quality Improvement Coordinator in Montpelier Vermont Description ... Montpelier Vermont Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..
... of care. The Senior Process Improvement Professional analyzes, and measures the ... process improvements. The Senior Process Improvement Professional work assignments involve moderately ... data and platforms for process..
Job Information Humana Strategy Advisor, Healthcare Strategy in Montpelier Vermont Description ... Vermont Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
Job Information Humana Healthcare Strategy Consultant in Montpelier Vermont ... in Montpelier Vermont Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
Description The Senior Quality Improvement Professional will focus organizational efforts ... South Carolina Medicaid clinical quality performance measures to achieve optimal performance and quality for the Humana ... Works closely..
... in Montpelier Vermont Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a ... and Interoperability strategy, operations, and performance nationally. This role relies on ... guidance..
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. Responsibilities ..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... solution to a knowledge or performance gap. The Senior Learning Design ... variable factors. Responsibilities The HCS (Healthcare Services) Learning..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... Humana Associate Vice President, Quality Improvement for Healthy Horizons in Montpelier ... the role of AVP, Quality Improvement for Healthy Horizons. Decisions in ... goals and objectives, and improves..
