THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
... Stars Program. Directs all Stars quality improvement programs and initiatives. The ... the analysis of situations or data requires an in-depth evaluation of ... designed to increase the plan..
... SCOPE: Ensure the provision of quality patient care to all hospitalized ... customer service philosophy to ensure quality service while maintaining a high ... to reduce costs and maintain..
... relationships with physicians, providers and healthcare systems in order to support ... support and improve financial and quality performance within the contracted working ... as financial performance, incentive programs,..
... Humana members to make informed healthcare decisions. Our key goal is ... help our members obtain high quality affordable healthcare while keeping our provider networks ... (cost) & Effectiveness..
Orthopedic Surgery position - North FL - near Gainesville and Valdosta, GA!!rnrnHospital Employed SettingrnrnWould be only full-time Orthopedic Surgeon on staff at the hospital.rnrnCall Coverage: arranged from Orthopedic Surgeon(s) next door. ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
... effective performance and delivery of quality home care services, and is ... Utilization Review staff relative to data tracking for performance review and ... raise the bar on home..
... leverages its advanced knowledge of data, modeling, optimization, and tools. Applies ... that improve the outcomes and quality of the programs we offer. ... problems. Understands and analyzes complex..