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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) develops and implements programs to establish and maintain quality standards of existing products and services pertaining to In Home Wellness ..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
... in Atlanta Georgia Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Job Information Kindred at Home Director Clinical Quality Analytics - Remote position in Atlanta Georgia The Director, Clinical Quality Analytics manages across multiple cross-functional teams of applications, infrastructure, and business resources ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..
Job Information Humana Bilingual Quality Auditor in Atlanta Georgia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
... Kindred at Home RN Clinical Manager in Sandy Springs Georgia The ... Sandy Springs Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
... OPPE/FPPE and Quality Assurance/Performance Improvement (QA/PI)) and Morbidity and Mortality is ... the Emory Clinic and Emory Healthcare, a comprehensive health system that ... for Similar Jobs About Emory..
PURPOSE AND SCOPE:Responsible for the day-to-day program operations and supporting the growth of the assigned single site Home Therapies program in coordination with the Business Unit management, in-center staff and other ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Atlanta Georgia Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Decatur Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..
... in Atlanta Georgia Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Job Information Humana Technical Product Manager - Remote in Atlanta Georgia ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Job Information Centerwell RN Clinical Manager in Decatur Georgia The Clinical ... in Decatur Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Atlanta Georgia Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
... Kindred at Home RN Clinical Manager- Offering $10,000 Sign-on bonus (M-F, ... in Stockbridge Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
... & 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..
