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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 ..
... HOS Able to articulate relevant healthcare quality standards and provide educational support ... and target providers with low quality scores Determine causation of low ... review and interpretation of..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
Description As a Data and Reporting Analyst, you will be responsible for generating reports and regular datasets for the Primary Care Organization (PCO) related to new patient growth. The Data and ..
Job Location: Fayetteville, AR Job Type: Full Time Department : Clinic - Billing Shift : 8:30AM to 5PM Job Posting: Collections/Customer Service Representative (Monday - Friday 8:30am - 5pm) Employment Type: ..
... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... we serve through compassionate, high quality care, prevention and wellness education. ... : To be the leading..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... we serve through compassionate, high quality care, prevention and wellness education. ... Vision: To be the leading..
Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... factors. Responsibilities The Senior Medicaid Quality Data and Reporting Analyst will be responsible for the..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Rogers Arkansas Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... guidelines/procedures. Primary responsibilities for the..
... Medical Risk Adjustment & Compliance Analyst: Coding Employment Type: Full Time ... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... we serve through compassionate, high..
Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
Job Information Humana Strategy Advisor, Healthcare Strategy in Rogers Arkansas Description ... Arkansas Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
... Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in ... in the role of AVP, Quality Improvement for Healthy Horizons. Decisions ... related to accreditation, auditing and..
... 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 ... we serve through compassionate, high..
Job Location: Fayetteville, AR Job Type: Full Time Department : Clinic - Billing Shift : Monday - Friday Job Posting: Collections/Customer Service Representative - Clinic Billing (M-F 8:30am-5:00pm) Employment Type: Full ..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Rogers Arkansas Description ... Arkansas Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... only locally governed, community-owned, not-for-profit healthcare system. The System includes a ... we serve through compassionate, high quality care, prevention and wellness education. ... : To be the leading..
Description The Senior Quality Improvement Professional will focus organizational ... improving South Carolina Medicaid clinical quality performance measures to achieve optimal ... to achieve optimal performance and quality for the..
... Humana Lead Product Manager - Healthcare API in Rogers Arkansas Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Job Information Humana Healthcare Strategy Consultant in Rogers Arkansas ... in Rogers Arkansas Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..