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Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately ..
... Job Posting: Coding Specialist: Compliance Analyst Employment Type: Full Time Location: ... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... : To be the leading..
... Medical Risk Adjustment & Compliance Analyst: Coding Employment Type: Full Time ... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... : To be the leading..
... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..
Job Location: Fayetteville, AR Job Type: Full Time Department : Case Management Shift : Monday - Friday Job Posting: Director of Case Management & Social Services Employment Type: Full Time Location: ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Rogers Arkansas Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
Job Information Humana UM Medical Director - Conviva in Rogers Arkansas Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Rogers Arkansas Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
Job Location: Fayetteville, AR Job Type: Full Time Department : Clinic Hospital Admin Shift : Monday - Friday Days Job Posting: Coding Specialist - Auditor Employment Type: Full Time Location: Washington ..
Description This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest ..
... in the fast-paced industry of healthcare, we offer our associates career ... impact on the future of healthcare, Humana has the right opportunity ... on analysis above) Work with..
Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and ..
Job Information Humana Technical Product Manager - Remote in Rogers Arkansas Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases of ..
Job Location: Fayetteville, AR Job Type: Full Time Department : Cardiac Admin Shift : Monday - Friday Job Posting: CIS/PACS & Financial Coordinator - Cardiac Admin (Monday-Friday) Employment Type: Full Time ..