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... monitors trends in incidents and system issues and helps drive technical ... technology platforms / applications, performs system analysis and translates into system requirements. The work assignments are .....
... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... analysis and translation into proper..
... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... report information for end-users using system tools and database or data ... Medicaid Quality Data and Reporting..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on ... Central Region is seeking a Healthcare Financial Analyst to partner closely with our ... complex analytics and reporting. The..
... the realization of quality, economical healthcare services and other related lines ... Has MHA/MBA/MS in hospital administration, healthcare administration or equivalent educational experience. ... and a working knowledge of..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Aberdeen South Dakota Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
Job Information Humana Senior Copy Writer in Aberdeen South Dakota Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, ..
Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Remote Inpatient Coder EXPERIENCE: 3 - 5 Years Remote Inpatient Coder Seeking Experienced Inpatient Coders for Part-Time (20 hr/wk minimum) or Full-Time Positions. Requirements: · Current AHIMA Certification · Minimum 3 ..
... Humana Lead Product Manager - Healthcare API in Aberdeen South Dakota ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... streams and understand how critical it is to work in an ... such as software development, engineering, IT, and a wide variety of ... enhancements of existing value chains/streams..
... and documentation within a tracking system. May assist with identifying and ... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting experience ... in..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..
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 ..
Description The Senior Database Administrator manages and maintains all production and non-production databases. Responsible for standards and design of physical data storage, maintenance, access and security administration. The Senior Database Administrator ..
Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
Job Information Humana Data Manager / ETL Developer - Primary Care Organization in Aberdeen South Dakota Description The Data Manager 2 supports all aspects of configuration control, data management, and deficiency ..
