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IT Healthcare Business Analyst * Greenwood Village, CO Long ... to national accounts. The Business Analyst will have the following responsibilities: ... requirements -A comprehensive understanding of healthcare plans, operations,..
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... teams to share geographical and healthcare provider information within compliance boundaries. ... Pharmacovigilance SOPs regarding identification and reporting timelines. Contributes to managing external ... about new subject areas and..
u003cpu003eu003cstrongu003eThis job exists to:u003c/strongu003e perform audits of the documentation and posted CPT, HCPCs and ICD-10 codes of a sample of billed claims to determine whether services ordered by providers are rendered ..
Description Our search is focused on identifying a certified coder who will primarily be responsible for conducting prospective and concurrent reviews to identify documentation improvement opportunities according to CMS and ICD-10 ..
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 Staff Clinical Pharmacist manages the formulary processes for the Clinical Formulary Administration team for the Medicaid LOB. The Staff Clinical Pharmacist work assignments involve moderately complex to complex issues ..
Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
... distinctive competence. Define and create reporting packages that will inform the ... success of products. Responsible for reporting on product and client-level outcomes: ... insights Bachelor's degree in Business,..
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 The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
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 ..
... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... specifications. The Senior Business Systems..
... Program Business Owners with metrics reporting and program performance including ROI ... improvements to current processes. Create reporting tools to track results, provide ... with key partners and data..
Description The Clinical Data and Reporting Professional 2 generates ad hoc ... reports and regular datasets and reporting for clinical leadership decision making. ... making. The Clinical Data and Reporting..
Description The Account Management Financial Analyst analyzes and forecasts financial, economic, ... and operational decisions. This Financial Analyst work assignments are varied and ... Analytics team. Responsibilities The Financial Analyst..
... Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... Senior Medicaid Quality Data and Reporting Analyst will be responsible for the ... daily, weekly, monthly..
Description The Financial (Pricing) Analyst analyzes and forecasts financial, economic, ... and operational decisions. This Financial Analyst work assignments are varied and ... Analytics team. Responsibilities The Financial Analyst 2..
Description Come join the Digital Health & Analytics (DH&A) team within Humana to build a world class Data Science and Insights enterprise capability leveraging digital-first platforms, analytics, and agile development methodologies. ..
Description The Senior Value-Based Financial 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 Professional works on problems ..
Job ID 21000H1IAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work ..
