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... formal feedback in the annual performance evaluation process to identify and ... to develop clinic budgets, monitoring performance to ensure optimal, efficient and ... each assigned facility/program including optimal..
... encounter data, submission requirements and performance metrics per regulatory and health ... for error resolution, follow-up and performance monitoring. Participate in resolving encounter ... Qualifications Bachelor's degree in a..
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 ..
... Information Humana Senior Corporate Strategy Analyst in Boca Raton Florida Description ... Responsibilities The Senior Corporate Strategy Analyst role is modeled after top-tier ... Data Science, Data Analytics, etc.)..
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 ..
... 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..
... impact learner experience across AMN Healthcare. This position requires someone who ... curate, and develop creative, learner-centered, performance-based training programs, modules, and supporting ... instructor-led, blended learning, digital adoption..
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..
Job Information Humana RN Senior STARS Improvement Professional - South Florida, Treasure Coast and Brevard County area in Jupiter Florida Description The Senior STARS Improvement Professional develops, implements, and manages oversight ..
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 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 ..
Job Information Humana Corporate Strategy Consultant in Boca Raton Florida Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course ..
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 - Remote (EST Hours) in Boca Raton Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
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 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 ..
Job Information Humana Corporate Strategist in Boca Raton Florida Description Humana's Corporate Strategy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course for ..
Job Information Humana Senior Provider Contracting Professional in Boca Raton Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an ..
