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Job Description This position is a Quality Monitoring position, at ActiveHealth, involving performance evaluations of Case Management staff for commercial and Medicare business. -Position may also be responsible for evaluations of ..
Med Technologist II - RRL Float Med Technologist II-RRL Float - Greensboro, NC - 8:00-5:00 Basic Purpose: * Under minimal supervision, incumbent(s) will consistently and accurately perform either a greater number ..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
Job Information Humana Senior Provider Contracting Professional in Greensboro North Carolina Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Greensboro North Carolina Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
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 ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on ... Central Region is seeking a Healthcare Financial Analyst to partner closely with our ... complex analytics and reporting. The..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient ..
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 mission of the Physician Performance Insights team is to empower ... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable..
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 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 ..
... clinicians to promote more effective performance and delivery of quality home ... direct care clinicians. Evaluates their performance relative to job goals and ... action through the utilization of..
