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... reports to the Florida Medicaid Regional President. Responsibilities Job Description Summary ... reports to the Florida Medicaid Regional President. Job Description The RVP, ... utilization and affordability goals. Oversee..
... Specific Information ***This clinic will manager between 50-125 patients***PURPOSE AND SCOPE: ... within the community. Travel to regional, Business Unit and Corporate meetings ... all patients. Must complete Clinical..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... or community groups to support regional market priorities, which may include ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
... 40 market leader in integrated healthcare whose dream is to help ... report directly to our Florida Regional President and will lead a ... contractual requirements Partners with Contract..
Description Responsibilities CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, ..
... in Tampa Florida Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
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). ..
... in Tampa Florida Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
Job Location St. Petersburg - Headquarters - St. Petersburg, FL Position Type Full Time Salary Range $54,000.00 - $56,000.00 Salary/year There's a spot on our team waiting for you! Become a ..
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 ..
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 Director, Coding and Risk Adjustment ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies ..
... of services provided by other healthcare professionals in compliance with review ... or community groups to support regional market priorities, which may include ... whether services provided by other..
Description Healthcare isn't just about health anymore. It is about caring for family, friends, finances, and personal life goals. It's about living life fully. At the Primary Care Organization, a division ..
Job Information Kindred at Home Area Director Nursing & Rehab in Tampa Florida The Director, Area Nursing/Rehab Specialty Focus will direct management of multiple Specialty locations across a geographic area(s). Oversee/guide ..
