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... patient care which includes fiscal management, standards compliance, clinical practice, staff ... intervention, resource utilization, and conflict management. Act as a resource & ... in conjunction with the unit..
... - PRN 0.3 Department: Case Management Location: Rio Rancho, NM START ... communicates any variance. Identifies high risk social issues and refers to ... refers to Case manager or..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Responsibilities Key Responsibilities Leverage product management expertise to create simple, personalized ... the moment of need for..
Job Information Humana Director, Behavioral Health Network & Market ... Albuquerque New Mexico Description The Director, Behavioral Health (BH) Network and ... model design (full or partial risk, PPPM, upside..
Job Information Humana Director, Medicaid Strategic Solutions in Albuquerque ... the mission of a leading healthcare company committed to improving the ... structured problem solving, and project management rigor. We..
... according to CMS and ICD-10 risk adjustment coding guidelines. In this ... also taking ownership of Medicare risk adjustment programs that fit best ... clinical best practices in the..
... 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 Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
... and coordinate the clinical and management activities of one or more ... in conjunction with Unit Medical Director. Ensure adherence to Hospitals and ... conjunction with the Unit Medical..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... acumen to solve for the healthcare challenges of today. The Clinical ... organization is seeking a Medical Director of..
Description As the Associate Director, IT Project Management, you will use your background ... background and experience in program management to lead and manage a ... our Medicare segment. The..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in Albuquerque New Mexico Description ... Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) ... national..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... Vice President, Home Care Product..
Job Information Humana Medicare Risk Adjustment Documentation and Coding Improvement ... will take ownership of Medicare risk adjustment programs that fit best ... clinical best practices in the risk adjustment..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Responsibilities A full time Medical Director to manage clinical vendor quality ... for inpatient and outpatient utilization management..
