THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion ..
Description SeniorBridge is looking for a professional Branch Manager to lead, support and grow branches in the Northeast region. SeniorBridge is Humana's wholly-owned home care business acquired in 2012. At SeniorBridge, ..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
... in Bridgeport Connecticut Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
... 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 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 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 care facilitation and priorities, ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... within the community. Travel to regional, Business Unit and Corporate meetings ... all patients. Must complete Clinical Manager training modules and ongoing developmental ... within the community. Travel to..
... 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 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,..
... preference with judicious use of healthcare resources Educates physicians regarding InterQual ... for high-risk patients across the healthcare continuum. Ensures the delivery of ... is a national leader in..
... in Bridgeport Connecticut Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
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). ..
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 ..
