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u003cpu003eu003cstrongu003eRole Summary:u0026nbsp; u0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eThe Prior Authorization Nurse Analyst is a work from home position that will assist in reviewing medical documentation for prior authorization requests submitted.u003c/pu003enu003cpu003eu003cstrongu003eIn this role you will:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003ePerform review of ..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Green Bay Wisconsin ... Wisconsin Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
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 Code 2168996I At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of ..
Job Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in Green Bay Wisconsin Description The Senior Consumer Service Operations Professional is responsible for the daily activities across multiple ..
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 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..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Green Bay Wisconsin Description ... Healthy Horizons is seeking a Quality Improvement Program..
Job Information Humana Healthcare Strategy Consultant in Green Bay ... Green Bay Wisconsin Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
... focus on investigating dental potential quality issues, patient safety events, and ... and focused reviews. Participate on quality committees. Youll enjoy the flexibility ... and reviews medical surgical potential..
Description Responsibilities The Claims Quality Audit Professional 1 works with the Resolution Quality Audit leadership team to support efficiency and day to day operations. Requires in-depth knowledge of Microsoft products Excel, ..
... for success of Training and Quality initiatives at WPS. u0026nbsp;The Director ... to execute a training and quality strategy that meets the operational ... Government Audit and the MVH..
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 ..
... creation, maintenance and review of quality assurance systems that promote Innovenn ... promote Innovenn and its clients’ quality in delivery of services and/or ... supporting Innovenn in meeting its..
... 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..
... directly to the National Medicaid Quality Director, and be responsible for ... operating model for Behavioral Health Quality, and its integration with Physical ... its integration with Physical Health..
... of regulatory submissions supporting its quality and regulatory obligations to clients. ... and requirements.rntAssists with developing corporate quality objectives and plans to ensure ... and plans to ensure the..
... Humana Lead Product Manager - Healthcare API in Green Bay Wisconsin ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
u003cpu003eThe Data Analyst Internship Program with WPS Health ... data requests, as necessaryu003c/liu003enu003cliu003eParticipate in quality assurance reviews of peer data ... a degree in Data Science, Healthcare Informatics, Statistics, Computer..
... 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..
... lead for investigating Dental potential quality issues and conducting chart reviews. ... conducting chart reviews. Participates on quality and team committees. The team ... of government/contract requirements and ensure..
Job Information Humana Strategy Advisor, Healthcare Strategy in Green Bay Wisconsin ... Wisconsin Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..