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The healthcare consultant will perform the following responsibilities: Conduct analysis of health plan and provider functional areas to identify impacts, opportunities and risks related to the implementation of ICD-10, create high ..
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Are you looking for a home care job where you can make a difference in people’s lives? Do you want to work for a home care agency that truly cares about ..
Currently have openings for all shifts! Part time, Full Time, Seasonal. Various hours are available. 12 hour shifts, overnight shifts needed, 8 hour shifts. Homewatch Caregivers of Northern Kentucky in Florence, ..
Description The Dental Director (part-time) provides dental interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Responsibilities The ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Senior Medicaid Quality Data and Reporting Analyst generates ... factors. Responsibilities The Senior Medicaid Quality Data and Reporting Analyst will ... the management and manipulation of quality data..
Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities Job ..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
Description The Director, Quality Improvement implements quality improvement programs for all lines ... and annual evaluation. The Director, Quality Improvement requires an in-depth understanding ... across departments. Responsibilities The Director,..
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 ..
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage ... programs to establish and maintain quality standards of existing products and ... Wellness Assessments. The Associate Director, Quality Assurance..
Warby Parker is searching for skilled and enthusiastic Opticians to join our growing team of in-house optical all-stars and play an integral part in what we’re all about—helping people see! In ..
Description The Vendor Quality Medical Director will manage clinical ... Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Director to manage clinical vendor quality outcomes for..
Job ID 21000HEBAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Description Humana's National Medicaid Quality team is seeking a Market ... for supporting individual Medicaid market quality teams and serving as the ... the corporate level National Medicaid Quality team..
Description The Associate Director, Quality Improvement implements quality improvement programs for all lines ... annual evaluation. The Associate Director, Quality Improvement requires a solid understanding ... department(s). Responsibilities The Associate..
... so that our members receive quality healthcare at an affordable price. You ... (RN) license 3 years of healthcare experience within a fraud investigations ... well as solid knowledge..
... moderate to substantial. Responsibilities The Quality Technology Leader collaborates with business ... to ensure the maturity of quality in the delivery of technology ... experienced with testing principles and..
Description The Senior Quality Engineer carries out procedures to ... and end-user requirements. The Senior Quality Engineer work assignments involve moderately ... variable factors. Responsibilities The Senior Quality Engineer performs..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
... the development and implementation of quality improvement interventions and audits and ... years of experience in Accreditation, Quality Management, Compliance, Utilization Management, Behavioral ... degree Advanced degree in a..
Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
... the design and development of quality, clinical, population health programs, services, ... relative to Population Health and Quality. Help represent the plan through ... care community, their impacts on..