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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 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). ..
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 UM Medical Director - Conviva in Overland Park Kansas Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
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 Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Overland Park Kansas 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 Overland Park ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
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 ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Overland Park Kansas Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage ..
... Overland Park Kansas Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Overland Park Kansas The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
Job Description Johnson County Mental Health Department is looking for a qualified candidate to fill the position of TeamLeader for their Adult Services program. The team leader will provide administrative and ..
Job Information Humana Associate Director, Site Reliability Engineering in Overland Park Kansas Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, ..
... & 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..
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..
... Overland Park Kansas Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..