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... Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical ... Advantage members who are at risk of excessive utilization of future ... within the business including..
Description The Supervisor, Care Management Support contributes to administration of ... contributes to administration of care management. Provides non-clinical support to the ... of members. The Supervisor, Care Management Support..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful ... that report to this Associate director will assist in identifying 'NEW' ... those areas. As the Associate..
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..
... looking for an RN Associate Director to support the Trauma & ... children. Areas of excellence include high-risk pregnancy and neonatal care, obstetrics ... depth and breadth of clinical..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... in Phoenix Arizona Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
... Collaborates with the Business Unit management team to grow the assigned ... in collaboration with the Medical Director. Administers medications as prescribed including ... ensure ongoing compliance with all..
... guidance and direction of the director. Provides leadership, positive role modeling ... continuity of services throughout the healthcare systems. Assists in resolution of ... under the direction of the..
Physician Educator, Medicare Risk Adjustment (Openings in AZ, NV, ... also be have limited Medical Management duties.Qualification Requirements:uf0b7 Comprehensive expert knowledge ... in the roleuf0b7 Some utilization management experience preferreduf0b7..
... will take ownership of Medicare risk adjustment programs that fit best ... clinical best practices in the risk adjustment methodology, understanding clinical suspects ... advanced understanding of the HCC..
Job Information Humana Director, Behavioral Health Network & Market ... in Phoenix Arizona Description The Director, Behavioral Health (BH) Network and ... model design (full or partial risk, PPPM, upside..
Description The Director, Medical Coding extracts clinical information ... CPT) to patient records. The Director, Medical Coding requires an in-depth ... function or segment. Responsibilities The Director, Medical Coding ensures..
... 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..
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..
... collaborate and inform the case management process, in order to facilitate ... in order to facilitate appropriate healthcare outcomes for members by providing ... through the use of care..
... Stockton, California NEW! NEW! Clinical Risk and Infection Control Coordinator Community ... Campus Phoenix, Arizona NEW! NEW! Director of Healthcare Technology Management Baylor Scott & White Health ... accuracy..
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..
... Banner Health. As an Associate Director RN for Medical Neuro ICU, ... that cares for babies of high-risk pregnancies and those born prematurely. ... depth and breadth of clinical..
Description Portfolio Management Lead collaborates with enterprise IT ... to substantial. Responsibilities Technology Lifecycle Management (TLM) aligns with and delivers ... in a matrixed environment Program/Project Management experience overseeing multiple..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in Phoenix Arizona Description The ... in Phoenix Arizona Description The Healthcare Quality Reporting & Improvement (HQRI) ... national..
... Services (CHS) is an industry-leading healthcare organization for the incarcerated population; ... experience Experience with Communicable Diseases Management Essential Job Tasks The tasks ... of infectious diseases Organizes outbreak..
... Level I) As a Associate Director RN for the Trauma Level ... reports to the ED RN Director of Nursing. As a member ... children. Areas of excellence include..
