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Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Hawaii Description The Senior Process Improvement Professional analyzes, and measures the ... process improvements. The Senior..
... and medication related Star measure performance. The Pharmacy Clinical Advisor Professional ... Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... with metrics reporting and program..
... of care. The Senior Process Improvement Professional analyzes, and measures the ... process improvements. The Senior Process Improvement Professional work assignments involve moderately ... data and platforms for process..
... and clinical training, and process improvement to positively impact overall financial ... etc.) Develop and document a performance improvement plan, in conjunction with hospice ... Management, etc. Occasionally attend..
Description Account Management Lead defines the account management strategy for Humana Pharmacy's commercial accounts. The Account Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial, ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
... 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..
Job Information Humana Quality Improvement Coordinator in Honolulu Hawaii Description ... Honolulu Hawaii Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Description The DRG Validation 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 ..
... the global leader in dialysis healthcare: Fresenius Medical Care North America. ... we advance careers and the healthcare of countless individuals. Why Join ... a promising career with a..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... solution to a knowledge or performance gap. The Senior Learning Design ... variable factors. Responsibilities The HCS (Healthcare Services) Learning..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
Description The Manager, Software Engineering codes software applications based on business requirements. The Manager, Software Engineering works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; ..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Job Information Humana Corporate Strategy Consultant in Honolulu Hawaii Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course for ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
Job Information Humana Senior Corporate Strategy Analyst in Honolulu Hawaii Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course ..
... drive the understanding of financial performance and key drivers o Responsible ... and leadership of medical cost improvement initiatives o Responsible for the ... resources of technical knowledge and..
