THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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... cycle and how a sales support team is a critical component ... drive the operating models, processes, systems, analytics, and resources that develop ... a comparable role within the..
... our customers. They will also support D&T efforts to design, implement ... Develop new Operational Designs in support of Offering Managers Partnering with ... work will focus on: Operational..
... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor ... diagnosis coding is accurate to support billed clinical diagnosis Applies clinical ... credential (CPC, CCS, or CRC)..
... to achieve quality standards.Provides leadership, support and guidance to facility management ... and technical managers and other support. Provides informal feedback on an ... to direct patient care and..
... contract payments in our payer systems, and by ensuring correct claims ... their home. We are a healthcare company committed to putting health ... for optimal performance from Humana..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
... FMS quality standards. Provides leadership, support and guidance to facility management ... and technical managers and other support. Provides informal feedback on an ... to direct patient care and..
... contract payments in our payer systems, and by ensuring correct claims ... job as we are a healthcare company committed to putting health ... for optimal performance from Humana..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... & Contracting leadership to provide support through complex analytics..
... of disease management software and systems as pertinent. STAFF: Responsible for ... recruitment and interview process, and decision to hire new personnel. Ensures ... members at regular intervals offering..
... Responsibilities Provide peer counseling and support to validate clients experiences. Have ... in which client self-determination, client decision-making in treatment planning, and protection ... abuse issues. Assist, teach, and..
... providers directly Multi-tasks in different systems Travel up to 20% In ... and network administration in a healthcare company Experience in contract preparation ... groups, ancillary providers and/or hospital..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Job Information Humana Quality Improvement Coordinator in Saint Paul Minnesota Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. ..
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 ..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..