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... clinical suspects and appropriate clinical documentation and accurate coding. This role ... adjustment methodology gained from HCC documentation, coding and provider education experience. ... result in improved accuracy of..
... 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,..
Job Information Humana Enterprise Risk Management Lead-US-Remote in Phoenix Arizona Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program (TPRM), a 2nd Line ..
Job Information Humana Healthcare Services, Pharmacy Product Owner in Glendale Arizona Description The Senior Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining ..
Job Description At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans, and community pharmacists, we're pioneering a bold new ..
... 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..
Job Information Humana Clinical Programs Pharmacist (Part Time) in Phoenix Arizona Description The Part-Time (PT) RX Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes with a focus on ..
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 ..
... Humana Lead Product Manager - Healthcare API in Phoenix Arizona Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Job ID 21000KHFAvailable Openings 1 PURPOSE AND SCOPE: Manages the provision of quality patient care in an independent home therapy program while maintaining cost-effective clinical operations in accordance with all legal, ..
... 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,..
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..
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 ..
Posted: 02-Mar-22 Location: Phoenix, Arizona Salary: Open Categories: Operations Internal Number: R70554 Primary City/State: Phoenix, Arizona Department Name: Legal Svcs-Corp Work Shift: Day Job Category: Legal Here for everyone. At Banner ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Phoenix Arizona Description ... Arizona Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
... clinical suspects and appropriate clinical documentation and accurate coding. As a ... from actual experience of HCC documentation and coding audits, program implementation ... result in improved accuracy of..
... 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..
Job Information Humana Healthcare Strategy Consultant in Phoenix Arizona ... in Phoenix Arizona Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
Posted: 28-Feb-22 Location: Phoenix, Arizona Salary: Open Categories: Operations Internal Number: R67394 Primary City/State: Phoenix, Arizona Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Primary Location Salary Range: ..
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 ..