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Job ID 21000LJWAvailable Openings 1 PURPOSE AND SCOPE: Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides direct ..
Job Information Humana Provider Engagement Clinical Executive - Remote FL in Jacksonville Florida Description The Provider Engagement, Clinical Executive develops and grows positive, long-term relationships with physicians, providers and healthcare systems ..
... encounter inbound/outbound process issues, using data from internal and external sources ... outbound. Identify and interpret encounter data, submission requirements and performance metrics ... errors in systems/databases; perform encounter..
... The right candidate will make data-driven decisions, be an effective communicator, ... will evaluate new opportunities using data driven methodology to help prioritize ... of market findings rooted in..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on ... and reports on various market data, connecting operational effectiveness and member ... Central Region is seeking a Healthcare Financial..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... Humana is seeking a Senior..
Orthopedic Surgery position - North FL - near Gainesville and Valdosta, GA!!rnrnHospital Employed SettingrnrnWould be only full-time Orthopedic Surgeon on staff at the hospital.rnrnCall Coverage: arranged from Orthopedic Surgeon(s) next door. ..
... the analysis of situations or data requires an in-depth evaluation of ... senior leaders with the right data to make informed strategic decisions ... by assessing qualitative and quantitative..
Specialty: RN- Progressive Care/ TelemetryLocations: Jacksonville, FLShift: NightsStart Date: ASAPJob Description Assist physicians with patient management Measure heart rate, breathing, blood-oxygen level and electrocardiogram information Interpret and measure data Assess potential ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Jacksonville Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... leverages their advanced knowledge of..
... Information Humana Senior Corporate Strategy Analyst in Jacksonville Florida Description Humana's ... Responsibilities The Senior Corporate Strategy Analyst role is modeled after top-tier ... the analysis of situations or..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
... the analysis of situations or data requires an in-depth evaluation of ... Florida market (contracts and gathering data for reports) Required Qualifications Bachelor's ... Work Experience (5 years of..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
... leverages its advanced knowledge of data, modeling, optimization, and tools. Applies ... problems. Understands and analyzes complex data, articulates to various units within ... Bachelor's degree 2-5 years of..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
Job Information Kindred at Home RN Clinical Manager in Jacksonville Florida The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
