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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 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 ..
Senior Data Analyst at Healthgrades Madison, Wisconsin Healthgrades ... connections. As a Sr. Data Analyst , you will support clients ... actionable recommendations and process improvements Healthcare industry experience is..
Job Information Humana UM Medical Director - Conviva in Green Bay Wisconsin Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... & 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..
u003cpu003eThe Data Analyst Internship Program with WPS Health Solutions has 3 parts. First and foremost, you will get real world experience. No getting coffee here. Your role will make a difference ..
u003cpu003eu003cstrongu003eWho We Areu003c/strongu003eu003c/pu003enu003cpu003eu003ca href=u0022https://www.wpshealthsolutions.com/about/index.shtmlu0022 target=u0022_blanku0022 rel=u0022noopeneru0022u003eWPS Health Solutionsu003c/au003e is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Green Bay Wisconsin Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the ..
Job Information Humana Technical Product Manager - Remote in Green Bay Wisconsin Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases ..
ESSENTIAL DUTIES AND RESPONSIBILITIES: rnrnrntDevelops and implements regulatory strategy and plans for projects, as assigned to ensure client and agency needs are met. Actively drives interactions with regulatory bodies, as assigned ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Green Bay Wisconsin Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage ..
SUMMARY: This position is responsible for providing regulatory direction, strategy, and support for our medical device clients in accordance with applicable regulatory requirements. They will be responsible for developing regulatory strategies ..
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 ..