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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 ..
... in conjunction with the Senior Manager, and the lead OU Consultant, ... closely together with the Senior Manager, and peer colleagues in similar ... Principal reports into the Senior..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Minneapolis Minnesota Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
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 Code 2173891I Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Minneapolis Minnesota Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
Coding Specialist We have exciting employment opportunities for remote HIM Coding Specialists on our Outsource Coding Team. Position Summary The HIM Coding Specialist will handle medical coding and data entry / ..
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 Technical Product Manager - Remote in Minneapolis Minnesota ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
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 Code 2173891 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ..
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..
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 Centerwell RN Clinical Manager Home Health Full Time in ... in Edina Minnesota The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..
... & 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..