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... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... business, process and user needs,..
... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... Medicaid Quality Data and Reporting Analyst will be responsible for the ... including the design, development, testing,..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... a Bachelor's degree in Business, Healthcare, or related field and/or 8 ... 5 years' experience in the..
... Humana Lead Product Manager - Healthcare API in Albuquerque New Mexico ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... variable factors. Responsibilities The HCS (Healthcare Services) Learning and Curriculum Senior ... job as we are a healthcare company committed..
POSITION SUMMARY: Coordinates the process for completion and transmission of the resident assessment instrument (RAI) inbyhe regulatory requirements, including assisting with the completion of the Minimum Data Set (MDS) and Care ..
Medical Assistant Apply Job ID 21725 Date posted Feb. 22, 2022 Location Albuquerque, New Mexico Full Time / Part Time Full time (FT) Quad/Graphics Nearly thirty years ago, QuadMed was born ..
Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
... Information Humana Medicare Risk Adjustment Documentation and Coding Improvement Educator - ... clinical suspects and appropriate clinical documentation and accurate coding. This role ... adjustment methodology gained from HCC..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Director of Family Practice Clinics Department: Ambulatory Services Admin Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for the overall clinical operations, personnel, and revenue tracking of ..
... with physicians, other nurses and healthcare professionals to provide care, monitor ... and document all aspects of documentation Collaborate with other disciplines to ... is a national leader in..
Job Information Humana Healthcare Strategy Consultant in Albuquerque New ... Albuquerque New Mexico Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting healthcare policy and for translating information ... of innovative, high quality government..
... the mission of a leading healthcare company committed to improving the ... possess working knowledge of contemporary healthcare technologies and have a proven ... of academic achievement 8 years..
... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Albuquerque New Mexico ... Mexico Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
... paper medical record by reviewing documentation to ensure it is approved ... and validating functions. Ensure all documentation meets hospital requirements and is ... for completeness and assign provider..
PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision ..
... preference with judicious use of healthcare resources Educates physicians regarding InterQual ... Educates physicians regarding InterQual criteria, documentation of patient acuity and treatment ... for high-risk patients across the..
