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Description The Senior STARS Improvement Professional develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives. The Senior STARS Improvement Professional work ..
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 ..
... 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..
... they relate to Medicaid State reporting. The Senior Compliance Professional work ... the analysis of situations or data requires an in-depth evaluation of ... performed without direction. Managing state..
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 ..
... The right candidate will make data-driven decisions, be an effective communicator, ... will evaluate new opportunities using data driven methodology to help prioritize ... inclusive process Develop and maintain..
... 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..
... 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..
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..
